Individual
WILLIAM MANCHESTER HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 SAMARITAN DR, STE 101, CUMMING, GA 30040-2535
(770) 887-0472
(770) 887-1140
Mailing address
110 SAMARITAN DR, STE 101, CUMMING, GA 30040-2535
(770) 887-0472
(770) 887-1140
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
025619
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000280134I
—
GA
Enumeration date
07/15/2005
Last updated
04/20/2017
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