Individual
MR. DONALD NILES LUDLOW JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3650 EXPRESS DR, SHALLOTTE, NC 28470-6501
(843) 716-2229
(843) 716-2483
Mailing address
PO BOX 669, LORIS, SC 29569
(843) 716-2229
(843) 716-2483
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101052765
VA
208000000X
Pediatrics Physician
Primary
23222
SC
208000000X
Pediatrics Physician
29141
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20T7479
DHEC
SC
05
—
5901589
—
NC
05
—
GP3483
—
SC
Enumeration date
05/04/2006
Last updated
06/12/2025
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