| Hudson Amc LLC | |
|
1800 Irving Place Shreveport LA 71101 | |
| (318) 425-4096 | |
| Not Available |
| Full Name | Hudson Amc LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Irving Place, Shreveport, Louisiana |
| Authorized Official Name and Position | David Mitchell Hudson (MEMBER) |
| Authorized Official Contact | 6013107466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Amc LLC Po Box 1684 Shreveport LA 71165-1684 Ph: (318) 424-4008 | Hudson Amc LLC 1800 Irving Place Shreveport LA 71101 Ph: (318) 425-4096 |
| NPI Number | 1982106456 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982106456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (NU) | Secondary |
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