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Individual
DR. GARY W HUDSON
Active
Individual
DR. GARY W HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3677
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
12133
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008606360
—
AL
01
—
51000927
BLUE CROSS BLUE SHIELD AL
AL
01
—
720892
UNITED CONCORDIA
AL
01
—
760775732
PRINCIPAL
AL
Enumeration date
04/14/2006
Last updated
10/12/2009
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