Provider Demographics
NPI:1326246448
Name:KEITH S. HUGHES, M.D.,P.C.
Entity Type:Organization
Organization Name:KEITH S. HUGHES, M.D.,P.C.
Other - Org Name:EAST MONTGOMERY FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:S
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-271-5700
Mailing Address - Street 1:6994 WINTON BLOUNT BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-3556
Mailing Address - Country:US
Mailing Address - Phone:334-271-5700
Mailing Address - Fax:334-271-5803
Practice Address - Street 1:6994 WINTON BLOUNT BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3556
Practice Address - Country:US
Practice Address - Phone:334-271-5700
Practice Address - Fax:334-271-5803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10167207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALCJ2701OtherRAILROAD MEDICARE GRP NUM
ALCJ2701OtherRAILROAD MEDICARE GRP NUM