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Individual

ROBERT A LUDWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
110 NORMAN DORMINY DR STE A, FITZGERALD, GA 31750-8858
(229) 409-0874
(229) 424-7392
Mailing address
PO BOX 1447, FITZGERALD, GA 31750-1447
(229) 424-7100
(229) 424-7281

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
37277
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000566948E
GA
Enumeration date
10/13/2006
Last updated
08/16/2018
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