Rebecca Dudley

NPI #1114475944 in Valdosta, Georgia

Provider Information

NPI Number: 1114475944
Entity Type: Individual
Name: Rebecca Dudley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Sep 21, 2016
Last Updated: Sep 21, 2016

Practice Location

Address: 804 MYRTLE ST
City: Valdosta
State: Georgia
ZIP Code: 31601-4831
Phone: (229) 563-9721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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