Individual
MR. MICHAEL ALEXANDER LUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 WESLEY RD, LA FAYETTE, GA 30728-4952
(706) 534-7838
(706) 534-7838
Mailing address
125 WESLEY RD, LA FAYETTE, GA 30728-4952
(706) 534-7838
(706) 534-7838
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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