| Mr Gregory Hudson, MD | |
|
137 State Route 3117, South Shore, KY 41175-9597 | |
| (606) 932-2079 | |
| (606) 932-2313 |
| Full Name | Mr Gregory Hudson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 137 State Route 3117, South Shore, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245234277 | NPI | - | NPPES |
| 0816415 | Medicaid | OH | |
| 7100373950 | Medicaid | KY | |
| 64252422 | Other | KY | KY MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35061298 (Ohio) | Secondary |
| 208000000X | Pediatrics | 25242 (Kentucky) | Primary |
| Entity Name | Gregory Hudson Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952476335 PECOS PAC ID: 8224138474 Enrollment ID: O20070717000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gregory Hudson, MD 137 State Route 3117, South Shore, KY 41175-9597 Ph: (606) 932-2079 | Mr Gregory Hudson, MD 137 State Route 3117, South Shore, KY 41175-9597 Ph: (606) 932-2079 |
Matthew G Hudson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 137 State Route 3117, South Shore, KY 41175 Phone: 606-932-2079 Fax: 606-932-2313 | |
Samuel David Hudson, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 137 State Route 3117, South Shore, KY 41175 Phone: 606-932-2079 Fax: 606-932-2313 |