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
Phone: (770) 926-8717
Fax: (770) 916-4820
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912974429 | NPPES |
Georgia | Other | 1912974429 | NPI NUMBER |
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