Individual
JUANITA ELIZABETH HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4827 14TH AVE, COLUMBUS, GA 31904-5900
(706) 507-9016
(706) 507-9016
Mailing address
4827 14TH AVE, COLUMBUS, GA 31904-5900
(706) 507-9016
(706) 507-9016
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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