Provider Demographics
NPI:1003893850
Name:HUDGENS, DAVID R (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:R
Last Name:HUDGENS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2175 HIGHWAY 75
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BLOUNTVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37617
Mailing Address - Country:US
Mailing Address - Phone:423-323-5290
Mailing Address - Fax:423-323-5653
Practice Address - Street 1:1 MEDICAL PARK BLVD
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-7430
Practice Address - Country:US
Practice Address - Phone:423-844-3220
Practice Address - Fax:423-844-3114
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2016-09-29
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Provider Licenses
StateLicense IDTaxonomies
TN25780207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology