Individual
LAUREN B HUDSPETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPCNP-BC
Contact information
Practice address
169 LAURELHURST AVE, COLUMBIA, SC 29210-3825
(803) 733-5969
Mailing address
128 SOUTHLAKE RD, COLUMBIA, SC 29223-5911
(843) 442-8363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25484
SC
363LP0200X
Pediatric Nurse Practitioner
Primary
25484
SC
Other
Enumeration date
11/17/2021
Last updated
04/18/2022
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