Hudson, Yacoba

Hudson, Yacoba is an individual health care provider with primary practice located at 9766 Highway 92 Suite 200, Woodstock GA 30188-6455. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hudson, Yacoba can be contacted via phone (770) 926-8717.

Contact Information

Primary practice address
9766 Highway 92 Suite 200 Woodstock GA 30188-6455
Fax: (770) 916-4820
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 044081 Georgia

Profile Details

NPI number 1912974429
LBN Legal business name Hudson, Yacoba
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Oct 6th, 2014 - about 10 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 1912974429 NPPES
Georgia Other 1912974429 NPI NUMBER

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