Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Theodore Lee Hudson Sr., LPN

Individual provider Licensed Practical Nurse · NPI 1093519654

Mr. Theodore Lee Hudson Sr., LPN is a Licensed Practical Nurse in Myrtle Beach, South Carolina. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

1800 Airpark Dr
Myrtle Beach, SC 29577-1412
Phone: (910) 260-9658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 094328 (GA)

Record details

NPI number1093519654
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorNo
NPI enumeratedApril 2, 2025
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

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