| Judy B Bain | |
|
104 Harwell Ave Ste 236 Lagrange GA 30240-3132 | |
| (706) 885-0111 | |
| (706) 885-0607 |
| Full Name | Judy B Bain |
|---|---|
| Speciality | Clinic/center |
| Location | 104 Harwell Ave Ste 236, Lagrange, Georgia |
| Authorized Official Name and Position | Roxie Moton (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7065946073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judy B Bain 104 Harwell Ave Ste 236 Lagrange GA 30240-3132 Ph: (706) 885-0111 | Judy B Bain 104 Harwell Ave Ste 236 Lagrange GA 30240-3132 Ph: (706) 885-0111 |
| NPI Number | 1679132922 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679132922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Wolf Specific, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1697 Vernon Rd Ste A, Lagrange, GA 30240 Phone: 706-415-5245 | |
Lagrange Med Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Vernon St, Lagrange, GA 30240 Phone: 706-885-9110 Fax: 706-885-9113 | |
Medical Care Of Lagrange, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Medical Dr, Suite 701, Lagrange, GA 30240 Phone: 706-882-8971 Fax: 706-882-8991 | |
Troup Cares, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Medical Dr Ste 501, Lagrange, GA 30240 Phone: 706-882-1191 Fax: 706-882-9591 | |
Lagrange Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Medical Dr, Ste 406, Lagrange, GA 30240 Phone: 706-845-7029 Fax: 706-812-1797 | |
West Georgia Health Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 | |
West Georgia Health Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Glenn Bass Rd, Lagrange, GA 30240 Phone: 706-845-3075 Fax: 706-882-8420 |