Individual provider · Type 1 NPI

Theodore Lee Hudson Sr., LPN

Licensed Practical Nurse · Myrtle Beach, SC

NPI number 1093519654 Active

Practice location

1800 Airpark Dr
Myrtle Beach, SC 29577-1412

Call (910) 260-9658 Map

Mailing address

7087 Trailhead Rd
Leland, NC 28451-9506

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X094328 (GA)

Licensed Practical Nurse: An individual 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.

15 other providers at this address

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About NPI 1093519654

Theodore Lee Hudson Sr., LPN's National Provider Identifier is 1093519654, issued on Apr 2, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Apr 2, 2025.