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Individual

TIM HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, CRNA

Contact information

Practice address
2900 LAMB CIR, CHRISTIANSBURG, VA 24073-6344
(540) 731-2800
(540) 731-2874
Mailing address
213 S JEFFERSON ST, SUITE 625, ROANOKE, VA 24011-1700
(540) 224-5688
(540) 224-5684

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001129265
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024-168679
VA

Other

Enumeration date
11/16/2009
Last updated
03/09/2010
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