Hudson, Theresa Marjorie
Hudson, Theresa Marjorie is an individual health care provider with primary practice located at 2700 Highway 34 E Bldg 300, Newnan GA 30265-2315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hudson, Theresa Marjorie can be contacted via phone (770) 304-0987.Contact Information
Primary practice address
2700 Highway 34 E Bldg 300
Newnan GA 30265-2315
Phone: (770) 304-0987
Fax: (770) 251-0938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 039594 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 147556 | California |
Profile Details
| NPI number | 1790839983 |
|---|---|
| LBN Legal business name | Hudson, Theresa Marjorie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Apr 13th, 2022 - about 4 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 | 1790839983 | NPPES |
| Georgia | MEDICAID | 000708045C |
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