Individual
TAWANDA HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 PADEN COVE TRL, LAWRENCEVILLE, GA 30044-8403
(678) 697-1634
Mailing address
400 PADEN COVE TRL, LAWRENCEVILLE, GA 30044-8403
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
12/17/2015
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