# HUDSON AMC LLC

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

## Provider details

- **NPI number:** 1982106456
- **Authorized official:** DAVID MITCHELL HUDSON JR. MD (MEMBER)
- **Authorized official phone:** (601) 310-7466

## Contact information

- **Practice address:** 1800 IRVING PLACE, SHREVEPORT, LA 71101
- **Practice address phone:** (318) 425-4096
- **Mailing address:** PO BOX 1684, SHREVEPORT, LA 71165-1684
- **Mailing address phone:** (318) 424-4008
- **Mailing address fax:** (855) 230-1466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 03/01/2018
- **Last updated:** 01/27/2023