Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 9257 | AL |
NPI | 1013926161 |
---|---|
Provider Name | Percy Charles Hudson |
First Address | Birmingham, AL 35205-1684 |
Second Address | Birmingham, AL 35205-1684 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 07/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C74832 | (02) |