Elbert Andrew Rudisill JR.
Family Doctor Family Doctor - Addiction Medicine
425 7th Ave Sw
Hickory
, North Carolina 28602
Elbert Andrew Rudisill JR.
Family Doctor Family Doctor - Addiction Medicine
425 7th Ave Sw
Hickory
, North Carolina 28602
(828) 322-5915
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Elbert Andrew Rudisill JR.
- 425 7th Ave Sw
- Hickory, NC
- Zip : 28602-3237
- Fax : (828) 322-5915
- Phone : (828) 322-5915
Second Address
- Elbert Andrew Rudisill JR.
- 425 7th Ave Sw
- Hickory, NC
- Zip : 28602
- Fax : (828) 322-5915
- Phone : (828) 322-5915
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Is Elbert Andrew Rudisill JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 21863 | NC |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 21863 | NC |
National Provider Identifier
| NPI | 1063531515 |
|---|---|
| Provider Name | Elbert Andrew Rudisill JR. |
| First Address | Hickory, NC 28602-3237 |
| Second Address | Hickory, NC 28602 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2007 |
| Last Update Date | 23/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8973845 | (05) | NC |
| C86239 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.