Doctor Name: | DR. CLEVELAND ALEXANDER HUDSON |
NPI Number: | 1043249485 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 18005 |
Business Practice Address: | 5000 W 4th St Hattiesburg, MS - 394021000 |
Business Phone Number: | 6014500521 |
Business Fax Number: | 6014500554 |
Mailing Address: | 5000 W 4th St, HATTIESBURG |
State: | MS |
Postal Code: | 394021000 |
Phone Number: | 6014500521 |
Fax Number: | 6014500554 |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 01/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 18005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |