Individual
DR. MARK CARROLL HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 312-6200
(757) 312-6181
Mailing address
109 G GAINSBOROUGH SQUARE, BOX 723, CHESAPEAKE, VA 23320
(757) 490-9388
(757) 490-9401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101102560
VA
207P00000X
Emergency Medicine Physician
MD034914
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205861572
—
VA
01
—
P01735379
RR MEDICARE
VA
01
—
VVM509A
MEDICARE
VA
Enumeration date
07/12/2006
Last updated
11/22/2024
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