Organization
HUDSON MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HUDSON (OWNER)
(404) 881-6910
Entity
Organization
Contact information
Practice address
735 PIEDMONT AVE NE, ATLANTA, GA 30308-1416
(404) 881-6910
(404) 873-2347
Mailing address
735 PIEDMONT AVE NE, ATLANTA, GA 30308-1416
(404) 881-6910
(404) 873-2347
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
030102
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000352778B
—
GA
01
—
4391200
AETNA
GA
Enumeration date
07/31/2007
Last updated
05/29/2008
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