# JUDITH B. NANCE, M.D. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326236134
- **Authorized official:** MS. TINA DEWITT BAILEY (OFFICE MANAGER)
- **Authorized official phone:** (318) 561-9600

## Contact information

- **Practice address:** 1135 EXPRESSWAY DR, SUITE 200 A, PINEVILLE, LA 71360-6698
- **Practice address phone:** (318) 561-9600
- **Practice address fax:** (318) 561-0228
- **Mailing address:** 1135 EXPRESSWAY DR, SUITE 200 A, PINEVILLE, LA 71360-6698
- **Mailing address phone:** (318) 561-9600
- **Mailing address fax:** (318) 561-0228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD.14759R | LA | Yes |

## Other

- **Enumeration date:** 10/05/2007
- **Last updated:** 10/05/2007