Dumelod, Judie A.

Dumelod, Judie A. is an individual health care provider with primary practice located at 3351 Northside Dr , Macon GA 31210-2587. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dumelod, Judie A. can be contacted via phone (478) 474-4035.

Contact Information

Primary practice address
3351 Northside Dr Macon GA 31210-2587
Phone: (478) 474-4035
Fax: (478) 474-7713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 002435 Georgia

Profile Details

NPI number 1285795831
LBN Legal business name Dumelod, Judie A.
Credentials PT, CKTP, IMC, C/NDT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Apr 1st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285795831 NPPES
Georgia MEDICAID 537484753A
Georgia MEDICAID 306817636A
Georgia MEDICAID 813105927A
Georgia MEDICAID 193449608B
Georgia MEDICAID 000760702B

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