Individual
JUDITH GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
888 PINE ST, MACON, GA 31201-2109
(478) 633-7600
(478) 633-7354
Mailing address
2490 RIVERSIDE DR, STE B, MACON, GA 31204-1787
(478) 633-6633
(478) 633-9384
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN039869
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000921808C
—
GA
05
—
000921808D
—
GA
05
—
000921808E
—
GA
Enumeration date
06/24/2006
Last updated
02/12/2016
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