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Individual

DR. MARK S. HUDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
460 W MAIN ST STE 103, BLUE RIDGE, GA 30513-7127
(941) 773-5076
Mailing address
460 WEST MAIN STREET, SUITE 103, BLUE RIDGE, GA 30513
(941) 773-5076

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH4153
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45708
BCBS
FL
Enumeration date
02/07/2006
Last updated
07/21/2022
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