MEDICARE: TERRI LAMM HUDKINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist
2	235Z00000X	Speech-Language Pathologist	4942	NC

General Provider Information

NPI Number	:	1700611241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRI LAMM HUDKINS

Provider Business Mailing Address
First Line	:	PO BOX 749
Second Line	:
City	:	BELMONT
State	:	NC
Zip	:	28012-0749
Country	:	US
Telephone Number	:	704-869-2088
Fax Number	:	980-288-4239

Provider Business Practice Location Address
First Line	:	134 N CHURCH ST
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-5401
Country	:	US
Telephone Number	:	252-270-1001
Fax Number	:	252-270-1002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2024
Last Update Date	:	09/17/2024

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Directions to “ TERRI LAMM HUDKINS ” Practice Location

Language	Start Address	Practice Location

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