Individual
JAMES WALLACE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
429 ROPER MOUNTAIN RD STE 700, GREENVILLE, SC 29615-4261
(864) 412-2777
(855) 877-7043
Mailing address
429 ROPER MOUNTAIN RD STE 700, GREENVILLE, SC 29615-4261
(864) 412-2777
(855) 877-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20424
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204246
—
SC
Enumeration date
06/23/2006
Last updated
01/30/2020
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