Organization
HUGHSTON CLINIC PC
Active
Organization
HUGHSTON CLINIC PC
Active
Other names
The Hughston Clinic PC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GRACE FROMKIN (DIRECTOR OF CREDENTIALING)
(706) 494-3071
Entity
Organization
Contact information
Practice address
207 31ST AVE SE, MOULTRIE, GA 31768-6703
(229) 333-9736
(229) 333-0225
Mailing address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 324-6661
(706) 327-6701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/20/2013
Last updated
10/25/2018
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