Dr. Andrew S. Rudin, M.d., P.c.

NPI #1811227838 in Jackson, Tennessee

Provider Information

NPI Number: 1811227838
Entity Type: Organization
Organization Name: Dr. Andrew S. Rudin, M.d., P.c.
Primary Specialty: Specialist
Enumeration Date: Jan 14, 2010
Last Updated: Jul 22, 2010

Practice Location

Address: 111 STONEBRIDGE BLVD
Address 2: SUITE C
City: Jackson
State: Tennessee
ZIP Code: 38305-2040
Phone: (731) 431-8002

Authorized Official

Name: DR. ANDREW SCOTT RUDIN, M.D.
Title: M.D. / OWNER
Phone: (731) 431-8002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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