Individual
DR. MARK C HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 DOCTORS PARK, CAIRO, GA 39828-3072
(229) 378-8110
(229) 378-8109
Mailing address
1 DOCTORS PARK, CAIRO, GA 39828-3072
(229) 378-8110
(229) 378-8109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038807
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000624599D
PEACH STATE HEALTH PLAN
GA
05
—
000624599D
—
GA
01
—
336122
WELLCARE
GA
01
—
800790
BLUE SHIELD
GA
01
—
DE0736
RAILROAD MEDICARE
GA
Enumeration date
04/10/2006
Last updated
03/23/2010
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