Individual provider · Type 1 NPI
Terra D. Rudd, PA
Medical Physician Assistant · Chestertown, MD
NPI number
1205041241
Active
Practice location
100 Brown St
Chestertown, MD 21620-1435
Fax (410) 810-7186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 0649 (SD) |
| Medical Physician Assistant | 363AM0700X | 0010-01645 (NC) |
| Medical Physician Assistant Primary | 363AM0700X | C0005108 (MD) |
Medical Physician Assistant: Definition to come...
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About NPI 1205041241
Terra D. Rudd, PA's National Provider Identifier is 1205041241, issued on May 12, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chestertown, MD. The record was last updated on Aug 21, 2013.