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NPI Code Detail

MEDICARE: JUDY N LEDBETTER

MEDICARE: JUDY N LEDBETTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist10173AL

General Provider Information

NPI Number : 1902852965
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY N LEDBETTER
Provider Business Mailing Address
First Line : PO BOX 303
Second Line :
City : GADSDEN
State : AL
Zip : 35902-0303
Country : US
Telephone Number : 256-547-6119
Fax Number : 256-546-2981
Provider Business Practice Location Address
First Line : 7583 WALL TRIANA HWY
Second Line :
City : MADISON
State : AL
Zip : 35757-8327
Country : US
Telephone Number : 256-547-6119
Fax Number : 256-546-2981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 03/07/2023

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Directions to “ JUDY N LEDBETTER ” Practice Location

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