| NPI | 1588806707 |
|---|---|
| Former Legal Business Name | THE HUGHSTON CLINIC PC |
| Entity Type | Organization |
| Authorized Contact | MARK BAKER CEO 706-494-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2018-10-25 |