Individual
CHARLES TAYLOR HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 REVOLUTIONARY TRL, FAIRFAX, SC 29827-7109
(803) 632-2533
(803) 259-3250
Mailing address
333 REVOLUTIONARY TRL, FAIRFAX, SC 29827-7109
(803) 632-2533
(803) 259-3250
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2733
SC
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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