| Larry David Hudson, MD | |
|
1021 W Oakland Ave, Suite 102, Johnson City, TN 37604-2191 | |
| (423) 928-9014 | |
| (423) 928-9014 |
| Full Name | Larry David Hudson |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 1021 W Oakland Ave, Johnson City, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679564835 | NPI | - | NPPES |
| TN0101 | Other | JOHN DEERE HEALTHCARE | |
| 3701830 | Medicaid | TN | |
| 0036521 | Other | BCBS TENNESSEE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD0000013019 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry David Hudson, MD 1021 W Oakland Ave, Suite 102, Johnson City, TN 37604-2191 Ph: (423) 928-9014 | Larry David Hudson, MD 1021 W Oakland Ave, Suite 102, Johnson City, TN 37604-2191 Ph: (423) 928-9014 |
Stuart S Leicht, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2898 Boones Creek Rd Ste 105, Johnson City, TN 37615 Phone: 423-262-0112 | |
Donald Eugene Clemons, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1009 North State Of Franklin Access Road, Johnson City, TN 37604 Phone: 423-929-7546 Fax: 423-929-7968 | |
Lauren Elizabeth Tisdale, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2885 Boones Creek Rd, Johnson City, TN 37615 Phone: 423-928-9014 | |
George Beverly Winton, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1009 N State Of Franklin Access Road, Johnson City, TN 37604 Phone: 423-929-7546 Fax: 423-929-7968 | |
James Richard Risney, PA Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1021 W Oakland Ave, Suite 102, Johnson City, TN 37604 Phone: 423-928-9014 Fax: 423-928-3559 | |
Timothy Lee Gardner, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1009 N State Of Franklin Access Rd, Johnson City, TN 37604 Phone: 423-929-7546 Fax: 423-929-7968 |