Healthcare Provider Details

I. General information

NPI: 1932277423
Provider Name (Legal Business Name): DONNA HUDGENS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26210 LEE HWY
ABINGDON VA
24211-7504
US

IV. Provider business mailing address

26210 LEE HWY
ABINGDON VA
24211-7504
US

V. Phone/Fax

Practice location:
  • Phone: 276-623-8100
  • Fax: 276-623-8109
Mailing address:
  • Phone: 276-623-8100
  • Fax: 276-623-8126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number101051074
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: