Provider Demographics
NPI:1861506693
Name:LUDWICK, FAITH (PNP)
Entity Type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:
Last Name:LUDWICK
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:235 SHERINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-2471
Mailing Address - Country:US
Mailing Address - Phone:770-343-9900
Mailing Address - Fax:770-343-8759
Practice Address - Street 1:12385 CRABAPPLE RD STE 100
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-6357
Practice Address - Country:US
Practice Address - Phone:770-343-9900
Practice Address - Fax:770-343-8759
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN067905363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics