Organization
HUGHSTON CLINIC, P.C.
Active
Organization
HUGHSTON CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FROMKIN (CREDENTIALING MGR)
(706) 494-3071
Entity
Organization
Contact information
Practice address
1430 US HIGHWAY 82 W, TIFTON, GA 31793-8011
(706) 324-6661
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
04/01/2021
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