Individual
MS. MARY LEE CUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1774 METROMEDICAL DRIVE, FAYETTEVILLE, NC 28304
(910) 323-1203
(910) 323-3101
Mailing address
1774 METROMEDICAL DRIVE, FAYETTEVILLE, NC 28304
(910) 323-1203
(910) 323-3101
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0100900
NC
Other
Enumeration date
11/01/2006
Last updated
01/24/2012
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