Individual
TANISHA SALILL HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3071 SOUTH OATES ST, DOTHAN, AL 36301
(334) 500-5044
(334) 557-1054
Mailing address
1500 1ST AVE N UNIT 3, BIRMINGHAM, AL 35203-1866
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-133299
AL
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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