Provider Demographics
NPI:1154043388
Name:HUDSON, KALEY FOUST (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MRS
First Name:KALEY
Middle Name:FOUST
Last Name:HUDSON
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Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:2122 SYLVAN LAKE DR
Mailing Address - Street 2:
Mailing Address - City:GROVETOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30813-5852
Mailing Address - Country:US
Mailing Address - Phone:404-983-1227
Mailing Address - Fax:
Practice Address - Street 1:1348 WALTON WAY STE 4100
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-5107
Practice Address - Country:US
Practice Address - Phone:706-722-1381
Practice Address - Fax:706-823-6871
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical