Provider Demographics
NPI:1427543560
Name:HUGHES, MICHAEL CUSHING
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:CUSHING
Last Name:HUGHES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 ROCHELLE DR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6032
Mailing Address - Country:US
Mailing Address - Phone:404-309-0626
Mailing Address - Fax:
Practice Address - Street 1:1506 ROCHELLE DR
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-6032
Practice Address - Country:US
Practice Address - Phone:404-309-0626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician