MS. MARY LEE CUDD PAC
NPI 1730266453
Physician Assistant - Surgical in Fayetteville, NC

Active since November 01, 2006
1774 METROMEDICAL DRIVE, FAYETTEVILLE, NC 28304(910) 323-1203(910) 323-3101 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Mary Lee Cudd Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY LEE CUDD PAC (NPI 1730266453) is an individual surgical provider in Fayetteville, North Carolina, licensed in North Carolina (0100900) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1730266453
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. MARY LEE CUDDCredential: PAC
Location Address1774 METROMEDICAL DRIVEFayetteville, NC 28304
Mailing Address1774 Metromedical DriveFayetteville, NC 28304 · (910) 323-1203 · Fax (910) 323-3101
Fax(910) 323-3101
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJanuary 24, 2012
NPI 1730266453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NC · 0100900
1774 METROMEDICAL DRIVE, Fayetteville, NC 28304

Other Identifiers 2

Medicare ID-Type Unspecified2765198NC
Medicare UPINQ63521

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
1774 METROMEDICAL DRIVE
FAYETTEVILLE, NC 28304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Cudd's NPI number?

The NPI number for Mary Cudd is 1730266453. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Mary Cudd located?

Mary Cudd practices at 1774 Metromedical Drive, Fayetteville, NC 28304. The listed phone number is (910) 323-1203.

What is Mary Cudd's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Mary Cudd was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.