Individual
DR. ROBERT W HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1856 MEMORIAL DR, CLARKSVILLE, TN 37043-4603
(931) 552-4600
(931) 552-7001
Mailing address
1856 MEMORIAL DR, CLARKSVILLE, TN 37043-4603
(931) 552-4600
(931) 552-7001
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0011048
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6042970
BLUE CROSS BLUE SHIELD
TN
05
—
Q009635
—
TN
Enumeration date
06/09/2006
Last updated
02/12/2019
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