NPI 1104756345

Charles Taylor Hudson

Practitioner Peer Specialist Fairfax, SC

Practice location

Address: 333 Revolutionary Trl, Fairfax, SC 29827-7109
Phone: (803) 632-2533
Fax: (803) 259-3250

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 2733 (SC)

Other Peer Specialist providers in South Carolina →

Registry record

NPI: 1104756345
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 May 2026
Record last updated: 20 May 2026

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.