Individual
JERRY HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 649-8802
Mailing address
PO BOX 54930, NEW ORLEANS, LA 70154-4930
(985) 785-2221
(985) 785-1118
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
L018487
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1983268
—
LA
Enumeration date
08/18/2005
Last updated
06/10/2010
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