Individual
DR. JODY MICHAEL HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1664 MULKEY RD, AUSTELL, GA 30106
(770) 422-1372
(770) 999-2599
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
68034
GA
207RP1001X
Pulmonary Disease Physician
Primary
68034
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051116828
BCBS
AL
01
—
051116829
BCBS
AL
01
—
051116830
BCBS
AL
05
—
09182254
—
MS
05
—
128691
—
AL
05
—
128696
—
AL
05
—
128697
—
AL
Enumeration date
05/04/2007
Last updated
09/24/2023
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