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Individual
MRS. TARA M JOHNSON HUGHES
Active
Individual
MRS. TARA M JOHNSON HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A812
SC
363A00000X
Physician Assistant
Primary
812
SC
363AM0700X
Medical Physician Assistant
812
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2282PA
—
SC
Enumeration date
06/23/2006
Last updated
08/29/2025
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