Provider Demographics
NPI:1669683116
Name:DR.'S HUDSON & HUDSON
Entity Type:Organization
Organization Name:DR.'S HUDSON & HUDSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-552-4600
Mailing Address - Street 1:1856 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-4603
Mailing Address - Country:US
Mailing Address - Phone:931-552-4050
Mailing Address - Fax:931-552-7001
Practice Address - Street 1:1856 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-4603
Practice Address - Country:US
Practice Address - Phone:931-552-4050
Practice Address - Fax:931-552-7001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3379062Medicare ID - Type UnspecifiedGROUP MCR #