Organization
HUGHSTON MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FROMKIN (CREDENTIALING MGR)
(706) 494-3071
Entity
Organization
Contact information
Practice address
512 N SHADY LN STE B, DOTHAN, AL 36303-2991
(334) 699-5747
(334) 699-5750
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
08/18/2023
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