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NPI Code Detail

MEDICARE: TONYA MITCHAM HUDSON FNP, BC

MEDICARE:   TONYA MITCHAM HUDSON  FNP, BC
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
1163WG0000XGeneral Practice Registered NurseRN106935 NPGA
2363LF0000XFamily Nurse PractitionerRN106935GA

General Provider Information

NPI Number : 1962476788
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA MITCHAM HUDSON FNP, BC
Provider Business Mailing Address
First Line : 6801 RIVER ROAD
Second Line : SUITE 301
City : COLUMBUS
State : GA
Zip : 31904
Country : US
Telephone Number : 706-494-0694
Fax Number : 706-494-0695
Provider Business Practice Location Address
First Line : 6801 RIVER RD STE 101
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-3353
Country : US
Telephone Number : 706-494-0694
Fax Number : 706-494-0695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2006
Last Update Date : 08/06/2019

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Directions to “ TONYA MITCHAM HUDSON FNP, BC” Practice Location

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