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Judy B Bain
Clinic/Center in Lagrange, Georgia
NPI 1679132922

Judy B Bain is a Clinic/Center based in Lagrange, GA. Judy B Bain practices in Lagrange, GA. The NPI Number for Judy B Bain is 1679132922 and holds a License No. (Georgia).

The current practice location address for Judy B Bain is 104 Harwell Ave Ste 236, Lagrange, GA and can be reached out via phone at 706-885-0111 and via fax at 706-885-0607.

Location: 104 Harwell Ave Ste 236, Lagrange, GA, 30240-3132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679132922
Provider Name
Judy B Bain
Credential
Provider Entity Type
Organization
Address
104 Harwell Ave Ste 236, Lagrange, GA, 30240-3132
Phone Number
706-885-0111
Fax Number
706-885-0607
Provider Enumeration Date
06/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
104 Harwell Ave Ste 236
City
Lagrange
State
Georgia
Zip
30240-3132
Phone Number
706-885-0111
Fax Number
706-885-0607
person
Provider Business Mailing Address Details
Address
104 Harwell Ave Ste 236
City
Lagrange
State
Georgia
Zip
30240-3132
Phone Number
706-885-0111
Fax Number
706-885-0607
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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