Individual
MARY JENNETTE JUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 GREEN VALLEY RD STE 304, GREENSBORO, NC 27408-7722
(336) 282-4840
(336) 282-4660
Mailing address
600 GREEN VALLEY RD STE 304, GREENSBORO, NC 27408-7722
(336) 282-4840
(336) 282-4660
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2015-00730
NC
207L00000X
Anesthesiology Physician
51542
TN
390200000X
Student in an Organized Health Care Education/Training Program
165137
NC
Other
Enumeration date
06/03/2010
Last updated
08/18/2015
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