Individual
DR. THERESA MARJORIE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2700 HIGHWAY 34 E, BLDG 300, NEWNAN, GA 30265-2315
(770) 304-0987
(770) 251-0938
Mailing address
2700 HIGHWAY 34 E, BLDG 300, NEWNAN, GA 30265-2315
(770) 304-0987
(770) 251-0938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
039594
GA
207Q00000X
Family Medicine Physician
Primary
147556
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000708045C
—
GA
Enumeration date
01/23/2007
Last updated
03/17/2025
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