Individual
DR. DONALD J SUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5821 FAIRVIEW RD STE 115, CHARLOTTE, NC 28209-3649
(704) 643-2205
Mailing address
5821 FAIRVIEW RD STE 115, CHARLOTTE, NC 28209-3649
(704) 643-2205
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
200201009
NC
207P00000X
Emergency Medicine Physician
200201009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7019449
AETNA
—
05
—
89131YC
—
NC
Enumeration date
11/29/2007
Last updated
10/07/2024
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