Organization
HUGHSTON CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GRACE FROMKIN (DIRECTOR OF CREDENTIALING)
(706) 494-3071
Entity
Organization
Contact information
Practice address
111 HIGHWAY 70 E, SUITE 103, DICKSON, TN 37055-2080
(615) 455-1966
(615) 455-1965
Mailing address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 494-3071
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TN
Other
Enumeration date
08/29/2016
Last updated
10/25/2018
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