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Individual

JUSTIN D RUDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
8188 US HIGHWAY 51 N, MILLINGTON, TN 38053-1750
(901) 614-4455
(901) 614-4526
Mailing address
8188 US HIGHWAY 51 N, MILLINGTON, TN 38053-1750
(901) 614-4455
(901) 614-4526

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5315
TN
363A00000X
Physician Assistant
TN

Other

Enumeration date
07/01/2022
Last updated
06/01/2023
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