Provider Demographics
NPI:1508825399
Name:ATWELL, HUGH CLIFTON (DC)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:CLIFTON
Last Name:ATWELL
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 1:3257 SE SALERNO RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-6736
Mailing Address - Country:US
Mailing Address - Phone:772-286-5277
Mailing Address - Fax:772-286-9478
Practice Address - Street 1:3257 SE SALERNO RD
Practice Address - Street 2:SUITE 3
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-6736
Practice Address - Country:US
Practice Address - Phone:772-286-5277
Practice Address - Fax:772-286-9478
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8186111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7741064OtherAETNA
FL381514500Medicaid
FL70166OtherBLUE CROSS BLUE SHIELD
U7792Medicare UPIN
FL381514500Medicaid