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Contact Information

MARY L CUDD, PAC
1774 METROMEDICAL DRIVE
FAYETTEVILLE, NC28304
 Phone: 910-323-1203
 Fax: 910-323-3101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARY L CUDD · (Female)

NPI # 1730266453
Status Active
Credentials PAC
Entity Individual
Enumeration date 11/01/2006
Last updated 01/24/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 0100900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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