Provider Demographics
NPI:1568193456
Name:HUGHES, ANDREA
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:961 ROBERTS BRANCH PKWY STE 106
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-9150
Mailing Address - Country:US
Mailing Address - Phone:803-743-8814
Mailing Address - Fax:863-383-6778
Practice Address - Street 1:961 ROBERTS BRANCH PKWY STE 106
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-9150
Practice Address - Country:US
Practice Address - Phone:803-743-8814
Practice Address - Fax:864-383-6778
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist