Organization
HUGHSTON CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FROMKIN (CREDENTIALING DIRECTOR)
(706) 494-3071
Entity
Organization
Contact information
Practice address
4294 LOMAC ST, MONTGOMERY, AL 36106-3604
(334) 274-9000
(334) 274-0857
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
04/29/2022
Last updated
04/29/2022
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