Individual
GREGORY LEE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 VIRGINIA RD, EDENTON, NC 27932-9668
(800) 893-9698
Mailing address
309 DANCES BAY RD, ELIZABETH CITY, NC 27909-9178
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28986
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8944346
—
NC
Enumeration date
04/10/2006
Last updated
08/15/2013
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