Provider Demographics
NPI:1598898967
Name:HUGHES, RALPH CONDON III (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:CONDON
Last Name:HUGHES
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3780
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38803-3780
Mailing Address - Country:US
Mailing Address - Phone:727-612-8388
Mailing Address - Fax:
Practice Address - Street 1:1512 20TH AVE
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-4124
Practice Address - Country:US
Practice Address - Phone:601-483-8300
Practice Address - Fax:601-484-7776
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS20291207ZD0900X, 207ZP0102X
FLME89484207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK4772OtherMEDICAL LICENSE
TXF6770OtherMEDICAL LICENSE
FLME89484OtherMEDICAL LICENSE
OK14489OtherMEDICAL LICENSE
MS20291OtherMISSISSIPPI
VA46798OtherMEDICAL LICENSE
SC30344OtherSOUTH CAROLINA
NC34357OtherMEDICAL LICENSE
TN43117OtherTENNESSEE
PAMD433475OtherPENNSYLVANIA
GA060086OtherGEORGIA
NH13669OtherNEW HAMPSHIRE
KY41240OtherKENTUCKY
MT8325OtherMEDICAL LICENSE
LAMD201821OtherLOUISIANA
CT042568OtherMEDICAL LICENSE
CO25900OtherMEDICAL LICENSE
OH82141OtherMEDICAL LICENSE
WA28641OtherMEDICAL LICENSE
VA46798OtherMEDICAL LICENSE