1104316652 NPI number — HUGHSTON CLINIC PC

Table of content: (NPI 1104316652)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104316652 NPI number — HUGHSTON CLINIC PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HUGHSTON CLINIC PC
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:
Provider Other Organization Name Type Code:
6
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:
1104316652
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/17/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 370
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORTSON
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31808-0370
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-494-3071
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 MEDICAL DR STE 400
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUBLIN
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31021-2561
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-324-6661
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/10/2018

Additional Information

Authorized Official

Authorized Official Last Name:
FROMKIN
Authorized Official First Name:
AMANDA
Authorized Official Middle Name:
GRACE
Authorized Official Title or Position:
DIRECTOR OF CREDENTIALING
Authorized Official Telephone Number:
706-494-3071

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4725880022 . This is a "MEDICARE DME" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".




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