Individual
JUSTIN ROGER JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
905 PHILLIPS AVE, HIGH POINT, NC 27262-7075
(336) 802-2040
(336) 802-2041
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024-01206
NC
390200000X
Student in an Organized Health Care Education/Training Program
BP10075200
TX
Other
Enumeration date
04/21/2021
Last updated
07/26/2024
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