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Organization
HUGHSTON CLINIC, PC
Active
Organization
HUGHSTON CLINIC, PC
Active
Other names
The Hughston Clinic, PC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GRACE FROMKIN (DIRECTOR OF CREDENTIALING)
(706) 494-3071
Entity
Organization
Contact information
Practice address
4689 US HIGHWAY 17, SUITE 11& 12, FLEMING ISLAND, FL 32003-4831
(904) 375-9753
Mailing address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 494-3071
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
04/06/2016
Last updated
10/25/2018
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