Organization
HUGHSTON CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KING (DIRECTOR OF CREDENTIALING)
(706) 494-3193
Entity
Organization
Contact information
Practice address
341 RACETRACK RD NW, STE B, FORT WALTON BEACH, FL 32547-1552
(850) 659-7502
(850) 864-4076
Mailing address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 494-3071
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
01/17/2017
Last updated
04/07/2017
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