Individual
TERRA C CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 BILLINGSLEY RD, SUITE B, CHARLOTTE, NC 28211-1009
(704) 444-2400
(704) 358-2716
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 444-2400
(704) 358-2716
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2010-00973
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518096098
—
NC
05
—
NC2256
—
SC
Enumeration date
03/02/2007
Last updated
04/09/2015
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