Provider Demographics
NPI:1467599498
Name:HUGHES, ADAM WALTER (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:WALTER
Last Name:HUGHES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3675 SUMMER AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38122-3742
Mailing Address - Country:US
Mailing Address - Phone:901-323-3613
Mailing Address - Fax:901-454-5939
Practice Address - Street 1:3675 SUMMER AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38122-3742
Practice Address - Country:US
Practice Address - Phone:901-323-3613
Practice Address - Fax:901-454-5939
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor