Provider Demographics
NPI:1073787974
Name:HUGHES, MELISSA SAMMONS (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:SAMMONS
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 BRIGHTON CRST
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-6619
Mailing Address - Country:US
Mailing Address - Phone:770-645-1137
Mailing Address - Fax:
Practice Address - Street 1:430 BRIGHTON CRST
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-6619
Practice Address - Country:US
Practice Address - Phone:770-645-1137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA036996208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics