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Antonia Hudson

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

619 19th St S, Birmingham, AL 35249-1812

PECOS Enrollment

Based on the most recent information from CMS, provider Antonia Hudson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1982069456
Provider Type
Individual
Full Name
Hudson, Antonia
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
12/28/2015
Last Updated
3/31/2020

Contact Information

Practice Location

619 19th St S, Birmingham, AL 35249-1812

(205) 934-4011

Unlisted Fax

Mailing Location

PO Box 55310, Birmingham, AL 35255-5310

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 1520 Alabama
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 2811 Oklahoma

Antonia Hudson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Crunk, April Kilpatrick

Chasteen, Mason

Van Kampen, Nahomy J

Strenkowski, John Gregory

Ambrosetti, Katharine

Bevis, Adam C

Goscinski, Sidney Lynn

Bibb, Emory Leigh

Walters, Jessica K

Hummel, Natalie