Individual
JON EDWARD HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2010 BALDWIN LN, WINSTON SALEM, NC 27103-5846
(336) 277-1717
(336) 277-1718
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 277-1717
(336) 277-1718
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
121872
NC
208800000X
Urology Physician
200900171
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972783512
—
VA
05
—
5911644
—
NC
Enumeration date
11/12/2007
Last updated
08/18/2021
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