# CHEERIE GENTRY HUDSON, MED CCC-SLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134506223
- **Authorized official:** MRS. CHEERIE GENTRY HUDSON MED CCC-SLP (OWNER/SPEECH & LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (229) 831-7555

## Contact information

- **Practice address:** 128 BERRY LN, CHULA, GA 31733-3422
- **Practice address phone:** (229) 831-7555
- **Mailing address:** 128 BERRY LN, CHULA, GA 31733-3422
- **Mailing address phone:** (229) 831-7555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | SLP001947 | GA | Yes |

## Other

- **Enumeration date:** 04/28/2015
- **Last updated:** 04/28/2015