Individual provider · Type 1 NPI

Tom Alan Judy, PA-C

Medical Physician Assistant · Charlotte, NC

NPI number 1144254418 Active

Practice location

10130 Perimeter Pkwy, Ste 200
Charlotte, NC 28216-2447

Fax (855) 857-7333

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X015190 (NY)
Physician Assistant 363A00000X50003018 (OH)
Medical Physician Assistant Primary 363AM0700X10-95 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1144254418

Tom Alan Judy, PA-C's National Provider Identifier is 1144254418, issued on Jul 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charlotte, NC. The record was last updated on Feb 10, 2017.