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Individual

DR. BENJAMIN HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3109 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4361
(228) 818-1111
Mailing address
1600 BROAD AVE, GULFPORT, MS 39501-3603
(228) 863-1132
(228) 865-1700

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MS17996
MS
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
XH8195364
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00104505
MS
05
009934261
AL
01
646000515
TRICARE
01
P00285502
RAILROAD MEDICARE
Enumeration date
01/12/2007
Last updated
11/19/2019
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