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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