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Individual

JOHN C. GUDGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(910) 577-2240
(910) 577-2439
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27593
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8937849
NC
Enumeration date
06/14/2006
Last updated
07/12/2007
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