Individual
DR. MEREDITH UDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 CHARLIE MORRIS RD, COLBERT, GA 30628-2445
(706) 788-2127
Mailing address
PO BOX 459, COLBERT, GA 30628-0459
(706) 788-2127
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
067451
GA
208000000X
Pediatrics Physician
148900
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123988C
—
GA
05
—
5918073
—
NC
05
—
NC1447
—
SC
Enumeration date
04/29/2008
Last updated
08/29/2016
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