Provider Demographics
NPI:1811193410
Name:HUGHES, KERRY COURTNEY (MD)
Entity Type:Individual
Prefix:DR
First Name:KERRY
Middle Name:COURTNEY
Last Name:HUGHES
Suffix:
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 1:1579 MONROE DR NE
Mailing Address - Street 2:SUITE F BOX 612
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-5039
Mailing Address - Country:US
Mailing Address - Phone:404-364-1667
Mailing Address - Fax:
Practice Address - Street 1:1579 MONROE DR NE
Practice Address - Street 2:SUITE F BOX 612
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-5039
Practice Address - Country:US
Practice Address - Phone:404-364-1667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0317632084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry