Individual
DR. WAYNE A. HUDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1360 CENTER DR, SUITE 210, DUNWOODY, GA 30338-4135
(770) 343-8550
(770) 343-9808
Mailing address
5244 WYNTERCREEK DR, DUNWOODY, GA 30338-3838
(770) 392-9219
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
033988
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033988
MEDICAL LICENCE PHYSICIAN
GA
Enumeration date
01/27/2007
Last updated
07/08/2007
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