Individual
DEBERA L HUDERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
262 LEROY GEORGE DR, STE X, CLYDE, NC 28721-7430
(828) 452-8346
Mailing address
262 LEROY GEORGE DR, STE X, CLYDE, NC 28721-7430
(828) 452-8338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9700988
NC
2085R0202X
Diagnostic Radiology Physician
Primary
9700988
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8910750
—
NC
Enumeration date
07/07/2005
Last updated
10/21/2024
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