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Individual

DR. CHARLES P HUDSON

Active
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Individual

DR. CHARLES P HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01029475A
IN
207NS0135X
Procedural Dermatology Physician
01029475A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000079535
ANTHEM BCBS
IN
01
1023595
CHAMPUS
IN
01
P00134400
RR MEDICARE
IN
Enumeration date
05/17/2006
Last updated
02/27/2008
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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