Provider Demographics
NPI:1770555229
Name:HUDSON, ARNOLD RICHARD JR (MD)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:RICHARD
Last Name:HUDSON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 BLOUNT AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920
Mailing Address - Country:US
Mailing Address - Phone:865-549-4413
Mailing Address - Fax:865-549-4414
Practice Address - Street 1:200 BLOUNT AVE
Practice Address - Street 2:STE 200
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920
Practice Address - Country:US
Practice Address - Phone:865-549-4413
Practice Address - Fax:865-549-4414
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD9602207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3172549Medicare ID - Type Unspecified
TND32081Medicare UPIN