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NPI Code Detail

MEDICARE: DR. SUE BETH HUDSON MD

MEDICARE: DR. SUE BETH HUDSON MD
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
1207R00000XInternal Medicine Physician0101-035294VA

General Provider Information

NPI Number : 1013902329
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUE BETH HUDSON MD
Provider Business Mailing Address
First Line : 802 NEWTOWN RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-1116
Country : US
Telephone Number : 757-497-0606
Fax Number : 757-497-0411
Provider Business Practice Location Address
First Line : 802 NEWTOWN RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-1116
Country : US
Telephone Number : 757-497-0606
Fax Number : 757-497-0411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 02/17/2010

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Directions to “ DR. SUE BETH HUDSON MD” Practice Location

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