Provider Demographics
NPI:1407310170
Name:HUGLEY, COARTNYE M (BA, MED, & EDS)
Entity Type:Individual
Prefix:MRS
First Name:COARTNYE
Middle Name:M
Last Name:HUGLEY
Suffix:
Gender:F
Credentials:BA, MED, & EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4515 MELBORNE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-2766
Mailing Address - Country:US
Mailing Address - Phone:706-566-0643
Mailing Address - Fax:
Practice Address - Street 1:4515 MELBORNE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-2766
Practice Address - Country:US
Practice Address - Phone:706-566-0643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor