| Mr Theodore Lee Hudson Sr, LPN | |
| 1800 Airpark Dr, Myrtle Beach, SC 29577-1412 | |
| (910) 260-9658 | |
| Not Available | 
| Full Name | Mr Theodore Lee Hudson Sr | 
|---|---|
| Gender | Male | 
| Speciality | Licensed Practical Nurse | 
| Location | 1800 Airpark Dr, Myrtle Beach, South Carolina | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093519654 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 094328 (Georgia) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Theodore Lee Hudson Sr, LPN 7087 Trailhead Rd, Leland, NC 28451-9506 Ph: (910) 260-9658 | Mr Theodore Lee Hudson Sr, LPN 1800 Airpark Dr, Myrtle Beach, SC 29577-1412 Ph: (910) 260-9658 | 
| Jennifer R Derendal, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 606 Cattle Drive Cir, Myrtle Beach, SC 29588 Phone: 603-313-7740 | |
| Susan Grubbs, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 104 George Bishop Pkwy, Myrtle Beach, SC 29579 Phone: 843-903-6212 | |
| Sharon H Lallement,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 104 George Bishop Pkwy, Myrtle Beach, SC 29579 Phone: 800-805-6989 | |
| Linda Jean Lloyd, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 104 George Bishop Pkwy, Myrtle Beach, SC 29579 Phone: 843-903-6212 | |
| Priscilla Reed,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 104 George Bishop Pkwy, Myrtle Beach, SC 29579 Phone: 866-850-6585 | |
| Rita Windes, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 21st Ave N, Myrtle Beach, SC 29577 Phone: 843-448-8407 |