Provider Demographics
NPI:1811549942
Name:HUGHES, CHARLES F JR (SA-C)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:F
Last Name:HUGHES
Suffix:JR
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3604 MUIRFIELD GREEN PL
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4529
Mailing Address - Country:US
Mailing Address - Phone:407-461-7338
Mailing Address - Fax:
Practice Address - Street 1:3604 MUIRFIELD GREEN PL
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4529
Practice Address - Country:US
Practice Address - Phone:407-461-7338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant