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Individual

CLAY B HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1041 S MADISON ST, TUPELO, MS 38801-6309
(662) 844-8754
Mailing address
1041 S MADISON ST, TUPELO, MS 38801-6309
(662) 844-8754

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
15507
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0122670
MS
Enumeration date
07/26/2006
Last updated
07/08/2007
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