Organization
TOM HUDSON LLC
Active
Organization
TOM HUDSON LLC
Active
Other names
Conway Dermatology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA LAMBERT (OFFICE MANAGER)
(501) 327-8480
Entity
Organization
Contact information
Practice address
9 MEDICAL LANE, CONWAY, AR 72034
(501) 327-8480
Mailing address
9 MEDICAL LANE, CONWAY, AR 72034
(501) 327-8480
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105042001
—
AR
Enumeration date
11/23/2007
Last updated
09/18/2008
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