Provider Demographics
NPI:1932391786
Name:HUGHES, MICHELE HAYNIE (MD)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:HAYNIE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:HAYNIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5935 WASHINGTON AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-2642
Mailing Address - Country:US
Mailing Address - Phone:228-215-0669
Mailing Address - Fax:228-215-0669
Practice Address - Street 1:5935 WASHINGTON AVE
Practice Address - Street 2:SUITE A
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-2642
Practice Address - Country:US
Practice Address - Phone:228-215-0669
Practice Address - Fax:228-215-0669
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS21095207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology