Individual
JUDY MARLENA PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4186 MILL ST NE, COVINGTON, GA 30014-2559
(678) 625-8317
Mailing address
5241 GUM CREEK CT, LOGANVILLE, GA 30052-9205
(404) 456-3847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN223429
GA
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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