| Doctor Name: | TERRA D RUDD |
| NPI Number: | 1205041241 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 0010-01645 |
| Business Practice Address: | 100 Brown St Chestertown, MD - 216201435 |
| Business Phone Number: | 4107787668 |
| Business Fax Number: | 4108107186 |
| Mailing Address: | 100 Brown St, CHESTERTOWN |
| State: | MD |
| Postal Code: | 216201435 |
| Phone Number: | 4107787668 |
| Fax Number: | 4108107186 |
| NPI Enumeration Date: | 05/12/2007 |
| NPI Last Update Date: | 08/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0010-01645 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |