Provider Demographics
NPI:1518153147
Name:MICHAEL D HUGHES, DC, PC
Entity Type:Organization
Organization Name:MICHAEL D HUGHES, DC, PC
Other - Org Name:BURSON CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE & BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:B
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:OFFICE MANAGER
Authorized Official - Phone:770-267-3277
Mailing Address - Street 1:2070 HIGHWAY 11 NW
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30656-4682
Mailing Address - Country:US
Mailing Address - Phone:770-267-3277
Mailing Address - Fax:770-207-0753
Practice Address - Street 1:2070 HIGHWAY 11 NW
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30656-4682
Practice Address - Country:US
Practice Address - Phone:770-267-3277
Practice Address - Fax:770-207-0753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU73815Medicare UPIN