Individual
DR. JOY DINA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9098 FAIRFOREST RD, SPARTANBURG, SC 29301-1134
(864) 342-7070
(864) 586-4327
Mailing address
410 LAKECREST DR, SPARTANBURG, SC 29301-5238
(864) 908-7406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19782
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197824
—
SC
01
—
5005636
AETNA
SC
01
—
88022
MEDCOST
SC
05
—
89063MX
—
NC
Enumeration date
01/24/2006
Last updated
01/22/2020
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