Individual provider · NPI-1

Tonya Mitcham Hudson, FNP, BC

Nurse Practitioner, Family · Columbus, GA

NPI number1962476788

StatusActive

Last updated in NPPESAug 6, 2019

Details

NPI: 1962476788
Entity type: Individual (NPI-1)
Name: Tonya Mitcham Hudson
Credential: FNP, BC
Sex: Female
Sole proprietor: No
Enumeration date: Feb 16, 2006
Last updated: Aug 6, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	RN106935	GA	Yes
163WG0000X	Registered Nurse, General Practice	RN106935 NP	GA

Other names

Tonya M. Cain (Former Name)

Practice location

6801 River Rd Ste 101
Columbus, GA 31904-3353

Phone 706-494-0694 · Fax 706-494-0695

Mailing address

6801 River Road
Suite 301
Columbus, GA 31904

Phone 706-494-0694 · Fax 706-494-0695

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