1568665297 NPI number — ALAN D. HUGHES

Table of content: MRS. CLAUDETTE MAY ROSS RN (NPI 1750627345)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568665297 NPI number — ALAN D. HUGHES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALAN D. HUGHES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NUCLEAR MEDICINE ASSOCIATES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568665297
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1720 GUNBARREL RD
Provider Second Line Business Mailing Address:
SUITE 306
Provider Business Mailing Address City Name:
CHATTANOOGA
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37421-3192
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-648-2760
Provider Business Mailing Address Fax Number:
423-648-2765

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1720 GUNBARREL RD
Provider Second Line Business Practice Location Address:
SUITE 306
Provider Business Practice Location Address City Name:
CHATTANOOGA
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37421-3192
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-648-2760
Provider Business Practice Location Address Fax Number:
423-648-2765
Provider Enumeration Date:
06/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HUGHES
Authorized Official First Name:
ALAN
Authorized Official Middle Name:
DAVID
Authorized Official Title or Position:
PHYSICIAN - OWNER
Authorized Official Telephone Number:
423-648-2760

Provider Taxonomy Codes

  • Taxonomy code: 207U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 207UN0901X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 207UN0902X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 207UN0903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





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