Hudson, Deidre J
Hudson, Deidre J is an individual health care provider with primary practice located at 201 Business Center Dr , Pawleys Island SC 29585-6522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is her primary health care specialty. Hudson, Deidre J can be contacted via phone (888) 467-1117.Contact Information
Primary practice address
201 Business Center Dr
Pawleys Island SC 29585-6522
Phone: (888) 467-1117
Fax: (888) 990-3903
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19084 | South Carolina |
Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
NPI number | 1902878218 |
---|---|
LBN Legal business name | Hudson, Deidre J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2006 |
Last updated | Oct 19th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902878218 | NPPES |
South Carolina | MEDICAID | 190849 |
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