Individual
MISS MARNIE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2138 LANGHORNE RD, LYNCHBURG, VA 24501-1400
(434) 947-3920
(434) 947-3924
Mailing address
2138 LANGHORNE RD, LYNCHBURG, VA 24501-1400
(434) 947-3920
(434) 947-3924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002473
VA
363A00000X
Physician Assistant
Primary
01124
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023073608
—
VA
Enumeration date
04/18/2006
Last updated
04/11/2012
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