Provider Demographics
NPI:1063418911
Name:HUDSON, TONEY BRITTON (MD)
Entity type:Individual
Prefix:DR
First Name:TONEY
Middle Name:BRITTON
Last Name:HUDSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:315 N WASHINGTON AVE
Mailing Address - Street 2:STE 165
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-2623
Mailing Address - Country:US
Mailing Address - Phone:931-526-1604
Mailing Address - Fax:931-526-7378
Practice Address - Street 1:315 N WASHINGTON AVE
Practice Address - Street 2:STE 165
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-2623
Practice Address - Country:US
Practice Address - Phone:931-526-1604
Practice Address - Fax:931-526-7378
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNM.D.8023207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNBO2840Medicare UPIN