Provider Demographics
NPI:1356484075
Name:CAUDELL, JUDD ANDREW (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JUDD
Middle Name:ANDREW
Last Name:CAUDELL
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:501 EAST GREENE STREET
Mailing Address - Street 2:GUILFORD COUNTY HEALTH DEPARTMENT
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27260
Mailing Address - Country:US
Mailing Address - Phone:336-641-7688
Mailing Address - Fax:
Practice Address - Street 1:501 EAST GREENE STREET
Practice Address - Street 2:GUILFORD COUNTY HEALTH DEPARTMENT
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260
Practice Address - Country:US
Practice Address - Phone:336-641-7688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC2697363A00000X
NC001000151363A00000X
GA4998363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant