Individual
BRENT HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2604 PEACH ORCHARD RD, AUGUSTA, GA 30906-2406
(706) 798-5645
Mailing address
2604 PEACH ORCHARD RD, AUGUSTA, GA 30906-2406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023645
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332660172A
—
GA
Enumeration date
02/25/2008
Last updated
03/24/2015
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