Individual
LUKE PRUDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
Mailing address
6332 GLENGARRIE LN, HUNTERSVILLE, NC 28078-3312
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
307439
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2020
Last updated
08/14/2023
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