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Individual

TANDRA SHENEA HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
6095 PROFESSIONAL PKWY STE A210, DOUGLASVILLE, GA 30134-5611
(770) 949-4188
Mailing address
1300 UPPER HEMBREE RD STE D, ROSWELL, GA 30076-0927
(770) 670-6170
(770) 670-6171

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
RN165619
GA
367A00000X
Advanced Practice Midwife
Primary
RN165619
GA

Other

Enumeration date
07/12/2019
Last updated
06/06/2025
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