Search › Georgia › 101YP2500X
Ian Mudge, L.P.C
NPI 1700414539 · on the registry since 2020 · sole proprietor
Practice
- Address
- 5320 Cumberland Way
Stone Mountain, GA 30087 - Phone
- (862) 201-3495
Additional practice sites
- 2999 Piedmont Rd Ne Ste 100, Atlanta, GA
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia