Individual
DR. BRIAN G CUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2145 HENRY TECKLENBURG DR, SUITE 220, CHARLESTON, SC 29414-5893
(843) 723-0916
(843) 722-8124
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
14787
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147870
—
SC
01
—
P00648624
MEDICARE RAILROAD
SC
01
—
P00803390
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
03/23/2006
Last updated
04/16/2025
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