MR. THEODORE LEE HUDSON SR. LPN - NPI 1093519654 - Licensed Practical Nurse in Myrtle Beach, SC

Q: What is Theodore Hudson's NPI number?

The NPI number for Theodore Hudson is 1093519654. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Q: What is Theodore Hudson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Hudson was last updated on April 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Theodore Lee Hudson Sr. Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THEODORE LEE HUDSON SR. LPN (NPI 1093519654) is an individual licensed practical nurse in Myrtle Beach, South Carolina, licensed in Georgia (094328) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1093519654

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameMR. THEODORE LEE HUDSON SR.Credential: LPN

Location Address1800 AIRPARK DRMyrtle Beach, SC 29577-1412

Mailing Address7087 Trailhead RdLeland, NC 28451-9506 · (910) 260-9658

Phone(910) 260-9658

Sole ProprietorNo

Enumeration DateApril 2, 2025

NPPES CertifiedApril 2, 2025

✔ NPI 1093519654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in GA · 094328

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1800 AIRPARK DR, Myrtle Beach, SC 29577

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