Individual
MARILYN BREANNE ELIZABETH HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 PARKER ST NE, CLEVELAND, TN 37311-3731
(423) 614-8430
Mailing address
1700 PARKER ST NE, CLEVELAND, TN 37312
(423) 614-8430
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2023
TN
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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