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Individual

MARK M HUGHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(404) 851-6936
Mailing address
PO BOX 2968, KENNESAW, GA 30156-9117
(770) 779-0015

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
024440
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000708595
GA
05
000708595I
GA
05
000708595J
GA
01
008162
BCBS
GA
01
10053606
AMERIGROUP
GA
01
126148
BCBS
GA
01
333407
WELLCARE
GA
Enumeration date
02/15/2006
Last updated
01/13/2009
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