Individual
JERRY HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
379 PINEHAVEN ST. EXT., SUITE 120, LAURENS, SC 29360
(864) 832-6586
Mailing address
400 GRAYSON DR, MOORE, SC 29369-8910
(864) 901-6554
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2731
SC
Other
Enumeration date
04/08/2008
Last updated
05/29/2009
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