Provider Demographics
NPI:1801294368
Name:HUGHES, MICHAEL (APRN)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:HUGHES
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15 EARNEST DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-8627
Mailing Address - Country:US
Mailing Address - Phone:706-745-0200
Mailing Address - Fax:706-745-0889
Practice Address - Street 1:15 EARNEST DR
Practice Address - Street 2:SUITE A
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-8627
Practice Address - Country:US
Practice Address - Phone:706-745-0200
Practice Address - Fax:706-745-0889
Is Sole Proprietor?:No
Enumeration Date:2014-12-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN213917363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care