Individual
AVA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1320 RIBAUT RD, PORT ROYAL, SC 29935-1118
(843) 986-0900
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1775
(704) 384-1776
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016-00211
NC
207R00000X
Internal Medicine Physician
21307
MS
207R00000X
Internal Medicine Physician
57.010725
OH
207R00000X
Internal Medicine Physician
Primary
82055
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05736880
—
MS
Enumeration date
04/19/2007
Last updated
12/31/2024
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