Individual
DR. JOHN KENNISON HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3696 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 736-1830
(706) 737-5103
Mailing address
3696 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 736-1830
(706) 737-5103
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
041582
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00723874
—
GA
01
—
2126300
AETNA
GA
01
—
3600044
UNITED HEALTHCARE
GA
01
—
717228
BLUE CROSS BLUE SHIELD
GA
05
—
G41582
—
SC
01
—
P00035369
RAILROAD MEDICARE
GA
Enumeration date
12/23/2005
Last updated
10/02/2025
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