Hudson, Lori A

Hudson, Lori A is an sole proprietor health care provider with primary practice located at 503 Main St , Villa Rica GA 30180-1931. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hudson, Lori A can be contacted via phone (770) 462-1170.

Contact Information

Primary practice address
503 Main St Villa Rica GA 30180-1931
Phone: (770) 462-1170
Fax: (770) 462-1174
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28818 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN101917 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN101917 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN101917-NP Georgia

Profile Details

NPI number 1245319441
LBN Legal business name Hudson, Lori A
Credentials RN-FNPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Nov 3rd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245319441 NPPES
Georgia MEDICAID 000805153C
Georgia Other 08337445
Georgia MEDICAID 003224897A
Georgia Other 1346893799
Georgia MEDICAID 000805153D
Georgia Other 2379
Georgia Other G18382279

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