Individual
TRUDY A PAPUCHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 RB WILSON DR, HUNTINGDON, TN 38344-1726
(731) 986-2213
(731) 986-0011
Mailing address
PO BOX 525, HUNTINGDON, TN 38344-0525
(731) 986-2213
(731) 986-0011
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
19459
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
24228
KY
208D00000X
General Practice Physician
Primary
19459
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000005007805
TLC TENNCARE
TN
05
—
009963880
—
AL
01
—
0179492
BLUE CROSS
TN
01
—
100031425
PHP TENNCARE
TN
01
—
119454
UNISON TENNCARE
TN
05
—
3048641
—
TN
05
—
64242282
—
KY
Enumeration date
09/27/2006
Last updated
02/08/2012
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