Individual
EARL MAXWELL HUDGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5421 PATTERSON AVE, RICHMOND, VA 23226-2003
(804) 285-2006
(804) 285-2799
Mailing address
301 CONCOURSE BLVD STE 190, GLEN ALLEN, VA 23059-5759
(804) 549-4030
(804) 549-4032
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
0101019279
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016022
ANTHEM
—
01
—
0300049
UNITED HEALTHCARE
—
01
—
070003919
RAILROAD MEDICARE
—
01
—
511729
AETNA
—
05
—
5950066
—
VA
01
—
60200
SOUTHERN HEALTH
—
Enumeration date
07/21/2005
Last updated
02/25/2015
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