Provider Demographics
NPI:1700800968
Name:HUDSON, MILTON ASHON (DC)
Entity type:Individual
Prefix:
First Name:MILTON
Middle Name:ASHON
Last Name:HUDSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 294
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29465-0294
Mailing Address - Country:US
Mailing Address - Phone:843-881-8701
Mailing Address - Fax:
Practice Address - Street 1:1637 SAVANNAH HWY
Practice Address - Street 2:STE. 202
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6282
Practice Address - Country:US
Practice Address - Phone:843-225-7233
Practice Address - Fax:843-225-7243
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3052111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor