Organization
HUGHSTON CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BAKER (CEO)
(706) 494-3290
Entity
Organization
Contact information
Practice address
631 PROFESSIONAL DRIVE, SUITE 170, LAWRENECEVILLE, GA 30046-7694
(678) 312-2663
(770) 962-8587
Mailing address
6262 VETERANS PKWY, COLUMBUS, GA 31909-9517
(706) 494-3193
(706) 494-3201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/19/2013
Last updated
08/17/2023
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