Organization
HUGHSTON CLINIC SOUTHEAST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FROMKIN (CRED COORD)
(706) 494-3071
Entity
Organization
Contact information
Practice address
3443 DICKERSON PIKE STE 190B, NASHVILLE, TN 37207-2533
(615) 301-8269
(615) 712-9823
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-6661
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TN
Other
Enumeration date
06/29/2017
Last updated
08/18/2023
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