Rudd, Natasha
Rudd, Natasha is an individual health care provider with primary practice located at 400 Clarice Ave Ste 100 , Charlotte NC 28204-2768. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obesity Medicine, which is considered as her primary health care specialty. Rudd, Natasha can be contacted via phone (704) 348-4000.Contact Information
Primary practice address
400 Clarice Ave Ste 100
Charlotte NC 28204-2768
Phone: (704) 348-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obesity Medicine | 207QB0002X | NC0010-07745 | North Carolina |
Profile Details
| NPI number | 1649778101 |
|---|---|
| LBN Legal business name | Rudd, Natasha |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2018 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649778101 | NPPES |
| Georgia | Other | NC0010-07745 | NORTH CAROLINA MEDICAL BOARD STATE LICENSE |
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