DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDA MAE HUBLEIN

Active Sole Proprietor

IDA MAE HUBLEIN is a Contractor healthcare provider located in LAKELAND, Georgia. NPI 1144796020 is currently active in the NPPES registry. Verify at CMS.

Contractor · LAKELAND, GA

Registration Details

NPI Number
1144796020
Provider Type
Individual
Gender
Female
NPI Issued
Oct 18, 2018 (7.7972984499862 yrs)
Last Updated
Oct 18, 2018
Sole Proprietor
Yes

Practice Information

Address
265 BASKINS RD
LAKELAND, GA, 316355224
Browse GA providers · Browse ZIP 31635
Phone
2085991640
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in LAKELAND, GA

Name Credential NPI
ANN BROWNELL 1659820306
CHRISTOPHER VINSON 1730624438
MELANIE RENEE CHRISTIAN MSW 1417443680
BRANDON NASH 1851030555
APRIL LYNN MERRILL 1760352256
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.