Provider Demographics
NPI:1407064413
Name:HUGHART, CHRISTI LEA (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTI
Middle Name:LEA
Last Name:HUGHART
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2202 BEECHMONT RD
Mailing Address - Street 2:STE A
Mailing Address - City:SOUTH BOSTON
Mailing Address - State:VA
Mailing Address - Zip Code:24592-1614
Mailing Address - Country:US
Mailing Address - Phone:434-333-7760
Mailing Address - Fax:434-333-7769
Practice Address - Street 1:2232 WILBORN AVE STE C
Practice Address - Street 2:
Practice Address - City:SOUTH BOSTON
Practice Address - State:VA
Practice Address - Zip Code:24592-1662
Practice Address - Country:US
Practice Address - Phone:434-517-8893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102202810208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology