Doctor Name: | DR. RICHARD WOODARD HUDSON |
NPI Number: | 1912114083 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 13135 |
Business Practice Address: | 203 North St Bayboro, NC - 285150306 |
Business Phone Number: | 2527455111 |
Business Fax Number: | 2527457684 |
Mailing Address: | Po Box 459, 104 Bill St BAYBORO |
State: | NC |
Postal Code: | 285150459 |
Phone Number: | 2527453246 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13135 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |