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Contact Information

RICKEY H HUDSON SR, MD
4299 ELVIS PRESLEY BLVD.
MEMPHIS, TN38116-6084
 Phone: 901-332-5873
 Fax: 901-332-6084
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RICKEY H HUDSON SR · (Male)

NPI # 1609981752
Status Active
Credentials MD
Entity Individual
Enumeration date 08/20/2006
Last updated 09/10/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 018656
  • TN License # MD016565
  • TN Medicaid 0165491
  • TN Medicaid 116899
  • TN Medicaid 3032169
  • TN Other 0165491 BLUE CROSS BLUE SHEILD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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