Individual
MICHAEL HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
440 BROOKES WALK, WOODSTOCK, GA 30188-5185
(404) 512-6830
Mailing address
440 BROOKES WALK, WOODSTOCK, GA 30188-5185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000024630
ATC LICENSURE
GA
Enumeration date
07/30/2018
Last updated
07/30/2018
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