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Individual

DR. IVET E HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4200 E NORTH ST, SUITE 5, GREENVILLE, SC 29615-2437
(864) 292-2266
(864) 292-8356
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 782-4278
(803) 782-3445

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21932
SC

Other

Enumeration date
04/10/2006
Last updated
09/16/2009
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