Individual
RUDY TOM MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEDICAL HEIGHTS DR, MORGANTON, NC 28655-5197
(828) 433-4484
(828) 433-4487
Mailing address
100 MEDICAL HEIGHTS DR, MORGANTON, NC 28655-5197
(828) 433-4484
(828) 433-4487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9700106
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019H
BCBS OF NC
NC
01
—
12 41243
UNITED HEALTHCARE
NC
01
—
4455597
AETNA
NC
01
—
73943
MEDCOST
NC
05
—
891019H
—
NC
Enumeration date
06/21/2005
Last updated
04/14/2011
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