Individual
JAMIE GRESHAWN HUDGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
1734 RIDGE CT SE, CONYERS, GA 30013-1726
(704) 430-1117
Mailing address
1734 RIDGE CT SE, CONYERS, GA 30013-1726
(704) 430-1117
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2018-5322-01
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018-5322-01
PEER SUPPORT
NC
Enumeration date
06/28/2019
Last updated
06/28/2019
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