Individual
ANTONIO HUGHES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1776 CRESENT LN, SOUTHAVEN, MS 38671-7340
(901) 415-9037
Mailing address
1776 CRESENT LN, SOUTHAVEN, MS 38671-7340
(901) 415-9037
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5806
MS
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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