Individual
MR. LEON HUGHES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1270 CHRIS LAKE DRIVE, LAWRENCEVILLE, GA 30046
(678) 464-4905
Mailing address
2100 RIVERSIDE PKWY STE 128, LAWRENCEVILLE, GA 30043-5936
(678) 464-4905
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60054
AETNA
GA
Enumeration date
04/06/2007
Last updated
03/13/2020
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