Organization
HUGHSTON CLINIC PC
Active
Other names
The Hughston Clinic PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BAKER (CEO)
(706) 494-3290
Entity
Organization
Contact information
Practice address
117 OAKLAND PKWY, LEESBURG, GA 31763-7201
(706) 646-4371
(706) 646-4372
Mailing address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 494-3193
(706) 494-3201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/17/2008
Last updated
10/25/2018
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