NPI | 1457841900 |
---|---|
Former Legal Business Name | THE HUGHSTON CLINIC, PC |
Entity Type | Organization |
Authorized Contact | AMY E BENCHWICK Director Of Credentialing 706-494-3193 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2018-05-10 |
Last Update Date | 2023-08-18 |