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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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 1902878218 NPPES
South Carolina MEDICAID 190849

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