Individual
LOREN JARED HUDSPETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
440 CHARTER BLVD STE 3302, MACON, GA 31210-0711
(478) 200-5710
Mailing address
900 CIRCLE 75 PKWY SE STE 1700, ATLANTA, GA 30339-3087
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
82947
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82947
GEORGIA COMPOSITE MEDICAL BOARD,
GA
Enumeration date
11/13/2009
Last updated
01/18/2023
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