Dudley, Rebecca

Dudley, Rebecca is an sole proprietor health care provider with primary practice located at 804 Myrtle St , Valdosta GA 31601-4831. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Dudley, Rebecca can be contacted via phone (229) 563-9721.

Contact Information

Primary practice address
804 Myrtle St Valdosta GA 31601-4831
Phone: (229) 563-9721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1114475944
LBN Legal business name Dudley, Rebecca
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2016
Last updated Sep 21st, 2016 - about 8 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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