Organization
HUGHSTON CLINIC SOUTHEAST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FROMKIN (CREDENTIALING COORDINATOR)
(706) 494-3071
Entity
Organization
Contact information
Practice address
2000 10TH AVE STE 270, COLUMBUS, GA 31901-3706
(706) 571-1011
(706) 992-6596
Mailing address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 494-3071
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Enumeration date
06/29/2017
Last updated
08/18/2023
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