Provider Demographics
NPI:1174722425
Name:CARNDUFF, MARY FOLEY (MD)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:FOLEY
Last Name:CARNDUFF
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:FOLEY
Other - Last Name:FINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:605 MAXWELL BLVD APT 331
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104-3081
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30 NIGHTINGALE RD
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CA
Practice Address - Zip Code:93524-4704
Practice Address - Country:US
Practice Address - Phone:661-277-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL29851207X00000X
TXP0051207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery