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Individual

MRS. ASHLEY PRITCHETT HUDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2204 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
(434) 517-3100
Mailing address
2204 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
(434) 517-3100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004451
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0110004451
VA LICENSE
VA
Enumeration date
05/12/2014
Last updated
11/13/2020
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