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HUGHSTON CLINIC PC NPI 1477986859


NPI Information

NPI: 1477986859
Provider Name: HUGHSTON CLINIC PC

Former Legal Business Name: THE HUGHSTON CLINIC PC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
207 31ST AVE SE
MOULTRIE, GA
ZIP 31768
Phone: (229) 333-9736
Get Directions

HUGHSTON CLINIC PC is a durable medical equipment medical supplies in Moultrie, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. HUGHSTON CLINIC PC NPI is 1477986859. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is The Hughston Clinic Pc.

The provider's business location address is:

207 31ST AVE SE
MOULTRIE, GA
ZIP 31768-703
Phone: (229) 333-9736
Fax: (229) 333-0225

The provider's authorized official is Amanda Grace Fromkin .
The authorized official title is Director Of Credentialing and has the following contact phone number (706) 494-3071.

The enumeration date for this NPI number is 8/20/2013 and was last updated on 10/25/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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