Individual
DR. JUDITH ANN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Mailing address
1161 MALVERN HUNT CT, LAWRENCEVILLE, GA 30043-6301
(770) 995-9907
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
046686
GA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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