Individual
JENNIFER ANDERSON HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 MEDICAL RIDGE DR, GREENVILLE, SC 29605-4267
(864) 220-7270
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20425
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204255
—
SC
01
—
57-6007863032
BCBS OF SC
SC
01
—
57-6007863103
BLUE CHOICE OF SC
SC
01
—
7662206
AETNA
SC
01
—
8546142
CIGNA
SC
Enumeration date
05/12/2006
Last updated
08/19/2013
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