Individual
DR. RICKEY HUGH HUDSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4299 ELVIS PRESLEY BLVD., MEMPHIS, TN 38116-6084
(901) 332-5873
(901) 332-6084
Mailing address
P.O. BOX 30384, MEMPHIS, TN 38130-0384
(901) 332-5873
(901) 332-6084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
018656
TN
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
MD016565
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0165491
BLUE CROSS BLUE SHEILD
TN
05
—
0165491
—
TN
05
—
116899
—
TN
05
—
3032169
—
TN
Enumeration date
08/20/2006
Last updated
09/10/2010
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