Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 3677 | AL |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 12133 | AL |
NPI | 1447214424 |
---|---|
Provider Name | Dr. Gary W Hudson |
First Address | Huntsville, AL 35801-6447 |
Second Address | Huntsville, AL 35801-6447 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 12/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008606360 | (05) | AL |
51000927 | BLUE CROSS BLUE SHIELD AL (01) | AL |
720892 | UNITED CONCORDIA (01) | AL |
760775732 | AETNA (01) | AL |
760775732 | AMERITAS (01) | AL |
760775732 | CIGNA (01) | AL |
760775732 | DELTA DENTAL (01) | AL |
760775732 | GUARDIAN (01) | AL |
760775732 | JARDINES (01) | AL |
760775732 | MAIL HANDLERS (01) | AL |
760775732 | METLIFE (01) | AL |
760775732 | NAMCI (01) | AL |
760775732 | PRINCIPAL (01) | AL |
760775732 | SOUTHLAND (01) | AL |
760775732 | WASHINGTON DENTAL (01) | AL |
C70141 | (02) | AL |