Individual
ANGELA ELISE MARIE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1790 MULKEY RD STE 9A, AUSTELL, GA 30106-1122
(770) 739-1200
(770) 739-1270
Mailing address
1790 MULKEY RD STE 9A, AUSTELL, GA 30106-1122
(770) 739-1200
(770) 739-1270
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
040926
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00682316B
—
GA
Enumeration date
05/01/2006
Last updated
02/09/2021
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