Provider Demographics
NPI:1063466399
Name:HUGHES, HARRY FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:FRANCIS
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 ROY ROAD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909
Mailing Address - Country:US
Mailing Address - Phone:706-860-6515
Mailing Address - Fax:706-396-0055
Practice Address - Street 1:1210 ROY ROAD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909
Practice Address - Country:US
Practice Address - Phone:706-860-6515
Practice Address - Fax:706-396-0055
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0352692084N0400X
GA0248952084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000494997BMedicaid
GA0004949973Medicaid
GAGRP3753Medicare PIN
GA00494997BMedicaid