Udell, Meredith

Udell, Meredith is an individual health care provider with primary practice located at 11 Charlie Morris Rd , Colbert GA 30628-2445. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Udell, Meredith can be contacted via phone (706) 788-2127.

Contact Information

Primary practice address
11 Charlie Morris Rd Colbert GA 30628-2445
Phone: (706) 788-2127
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 148900 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 067451 Georgia

Profile Details

NPI number 1871768002
LBN Legal business name Udell, Meredith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Aug 29th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871768002 NPPES
North Carolina MEDICAID 5918073
North Carolina MEDICAID NC1447
North Carolina MEDICAID 003123988C

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