Organization
DR. ANDREW S. RUDIN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW SCOTT RUDIN M.D. (M.D. / OWNER)
(731) 431-8002
Entity
Organization
Contact information
Practice address
111 STONEBRIDGE BLVD, SUITE C, JACKSON, TN 38305-2040
(731) 431-8002
Mailing address
PO BOX 3126, JACKSON, TN 38303-3126
(731) 431-8002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
45038
TN
Other
Enumeration date
01/14/2010
Last updated
07/22/2010
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