NPI 1093519654

Theodore Lee Hudson, LPN

Practitioner Licensed Practical Nurse Myrtle Beach, SC

Practice location

Address: 1800 Airpark Dr, Myrtle Beach, SC 29577-1412
Phone: (910) 260-9658
Mailing address: 7087 Trailhead Rd, Leland, NC 28451-9506

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 094328 (GA)

Other Licensed Practical Nurse providers in South Carolina →

Registry record

NPI: 1093519654
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Apr 2025
Record last updated: 2 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.