Provider Demographics
NPI:1831379213
Name:HUGHES, THOMAS SANDERS (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:SANDERS
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 1:913 B BOWMAN RD
Mailing Address - Street 2:
Mailing Address - City:MT. PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464
Mailing Address - Country:US
Mailing Address - Phone:843-856-9530
Mailing Address - Fax:843-971-1345
Practice Address - Street 1:913 B BOWMAN RD
Practice Address - Street 2:
Practice Address - City:MT. PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464
Practice Address - Country:US
Practice Address - Phone:843-856-9530
Practice Address - Fax:843-971-1345
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19697174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT33504Medicaid
SCT33504Medicaid
SCG499768249Medicare PIN