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Individual

DR. PHILIP JAMES LUDWIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1589 SPARTA ST, STE 106, MCMINNVILLE, TN 37110
(931) 815-4580
(931) 815-4583
Mailing address
1589 SPARTA ST, STE 106, MCMINNVILLE, TN 37110
(931) 815-4580
(931) 815-4583

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01753
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01753
NC STATE LICENSE
NC
01
33660
BCBS NC
NC
05
8933660
NC
Enumeration date
11/01/2006
Last updated
05/08/2008
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