MR. Theodore Lee Hudson SR., LPN
NPI #1093519654 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1093519654
- Entity Type
- Individual
- Name
- MR. Theodore Lee Hudson SR., LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Apr 2, 2025
- Last Updated
- Apr 2, 2025
Practice Location
- Address
- 1800 AIRPARK DR
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29577-1412
- Phone
- (910) 260-9658
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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