Hudson, William Manchester

Hudson, William Manchester is an sole proprietor health care provider with primary practice located at 110 Samaritan Dr Ste 101, Cumming GA 30040-2535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hudson, William Manchester can be contacted via phone (770) 887-0472.

Contact Information

Primary practice address
110 Samaritan Dr Ste 101 Cumming GA 30040-2535
Fax: (770) 887-1140
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 025619 Georgia

Profile Details

NPI number 1578562187
LBN Legal business name Hudson, William Manchester
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2005
Last updated Apr 20th, 2017 - about 7 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 1578562187 NPPES
Georgia MEDICAID 000280134I

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