Individual
MRS. PERTINNA DAVIS HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
145 NORTH AVE, ATLANTA, GA 30308
(404) 607-7677
Mailing address
10624 EAGLE DR, JONESBORO, GA 30238-6685
(678) 526-4197
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN160448NP
GA
363LX0106X
Occupational Health Nurse Practitioner
Primary
RN160448 NP
GA
Other
Enumeration date
10/15/2010
Last updated
12/21/2017
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