John Kennison Hudson in Augusta - Specialist

John Kennison Hudson - NPI 1700863438

John Kennison Hudson is a Specialist in Augusta, Georgia. John Kennison Hudson practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Kennison Hudson is 1700863438. The last update date is 2019-08-09.

John Kennison Hudson's current location address is 3696 Wheeler Rd, Augusta, Georgia. You can contact this provider via phone number 7067361830 and fax number 7067375103. The mailing address for John Kennison Hudson is 3696 Wheeler Rd, Augusta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name John Kennison Hudson
Address 3696 Wheeler Rd, Augusta, Georgia
Phone Number 7067361830
Fax Number 7067375103
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1700863438
Provider Enumeration Date 2005-12-23
Last Updated Date 2019-08-09

Provider Mailing Address Detail

Address 3696 Wheeler Rd
City Augusta
State Georgia (GA)
Post Code 309096520
Phone Number 7067361830
Fax Number 7067375103

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 41582
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
723874 GA --
G41582 SC --
P00035369 GA RAILROAD MEDICARE
3600044 GA UNITED HEALTHCARE
2126300 GA AETNA
717228 GA BLUE CROSS BLUE SHIELD

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FAQs about John Kennison Hudson

What is the unique 10-digit identifier code issued to John Kennison Hudson by the Centers for Medicare & Medicaid Services?

The John Kennison Hudson has been assigned the NPI (National Provider Identifier) 1700863438 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of John Kennison Hudson?

The John Kennison Hudson is physically situated at 3696 Wheeler Rd, in the city of Augusta, state of GA, with the postal code 309096520.

What is John Kennison Hudson's specialized field of practice, and what is the corresponding taxonomy classification code?

The John Kennison Hudson's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the John Kennison Hudson receive the assignment of its 1700863438 from the Centers for Medicare & Medicaid Services?

The John Kennison Hudson was issued its 1700863438 by the Centers for Medicare & Medicaid Services on 2005-12-23.

When was the information related to John Kennison Hudson most recently updated or refreshed?

The details pertaining to the John Kennison Hudson, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-08-09.

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