Individual
JOSEPH MICHAEL EUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.PED.
Contact information
Practice address
208 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 872-7060
(704) 872-7096
Mailing address
208 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 872-7060
(704) 872-7096
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
CPED2511
—
225000000X
Orthotic Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7700616
—
NC
Enumeration date
01/25/2007
Last updated
04/21/2011
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