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NPI Code Detail

MEDICARE: ALCUS RAY HUDSON MD

MEDICARE: ALCUS RAY 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
1207Q00000XFamily Medicine Physician5626AL

General Provider Information

NPI Number : 1417959586
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALCUS RAY HUDSON MD
Provider Business Mailing Address
First Line : PO BOX 1474
Second Line :
City : JASPER
State : AL
Zip : 35502-1474
Country : US
Telephone Number : 205-221-9351
Fax Number : 205-221-3700
Provider Business Practice Location Address
First Line : 2201 N AIRPORT RD
Second Line :
City : JASPER
State : AL
Zip : 35504-7058
Country : US
Telephone Number : 205-221-9351
Fax Number : 205-221-3700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 07/08/2007

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Directions to “ ALCUS RAY HUDSON MD” Practice Location

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