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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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