Hughston Clinic PC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Lawreneceville, GA
NPI 1023448552 · NPPES record last updated Aug 17, 2023
Key facts
- NPI
- 1023448552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- HUGHSTON CLINIC PC
- Practice address
- 631 Professional Drive
Suite 170
Lawreneceville, GA 30046-7694 - Phone
- (678) 312-2663
- Fax
- (770) 962-8587
- NPI assigned
- Nov 19, 2013
- Organization subpart
- No
Authorized official
- Name
- Mark Baker
- Title
- Ceo
- Phone
- (706) 494-3290
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
631 Professional Drive
Suite 170
Lawreneceville, GA 30046-7694
Mailing address
6262 Veterans Pkwy
Columbus, GA 31909-9517
Phone (706) 494-3193
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service | Other | Ciox Health |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.