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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