Organization
HUGHSTON MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FROMKIN (CREDENTIALING DIRECTOR)
(706) 494-3071
Entity
Organization
Contact information
Practice address
1900 10TH AVE STE 211, COLUMBUS, GA 31901-3604
(706) 324-6661
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3071
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
02/12/2020
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