Player, Jennifer Fudge

Player, Jennifer Fudge is an individual health care provider with primary practice located at 1914 Glen Meade Rd , Wilmington NC 28403-6025. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Player, Jennifer Fudge can be contacted via phone (910) 762-2651.

Contact Information

Primary practice address
1914 Glen Meade Rd Wilmington NC 28403-6025
Phone: (910) 762-2651
Fax: (910) 763-5709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2006-00404 North Carolina

Profile Details

NPI number 1194725036
LBN Legal business name Player, Jennifer Fudge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 25th, 2011 - about 13 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 1194725036 NPPES
North Carolina MEDICAID 89067C9

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