Individual
MARTY HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
312 S MAIN ST, COVINGTON, TN 38019
(901) 476-8614
(901) 475-1921
Mailing address
312 S MAIN ST, COVINGTON, TN 38019
(901) 476-8614
(901) 475-1921
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1891T
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3113049
BCBS
—
05
—
3941840
—
TN
Enumeration date
08/25/2006
Last updated
07/08/2007
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