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NPI Code Detail

MEDICARE: DR. CHARLENE HUDSON D.O

MEDICARE:  DR. CHARLENE  HUDSON  D.O
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician20A9818CA

General Provider Information

NPI Number : 1760608954
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLENE HUDSON D.O
Provider Business Mailing Address
First Line : 2244 SUNSTATES CT
Second Line : SUITE 106
City : VIRGINIA BEACH
State : VA
Zip : 23451-1552
Country : US
Telephone Number : 757-256-7049
Fax Number : 757-496-5817
Provider Business Practice Location Address
First Line : 2244 SUNSTATES CT
Second Line : SUITE 106
City : VIRGINIA BEACH
State : VA
Zip : 23451-1552
Country : US
Telephone Number : 757-256-7049
Fax Number : 757-496-5817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 07/24/2014

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Directions to “ DR. CHARLENE HUDSON D.O” Practice Location

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