Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 10800 | SD |
N | 207X00000X | Orthopaedic Surgeon | 12826 | SC |
N | 207X00000X | Orthopaedic Surgeon | 27856 | NE |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 12826 | SC |
NPI | 1134154438 |
---|---|
Provider Name | Charles H Hughes JR. |
First Address | Mullins, SC 29574-6038 |
Second Address | Mullins, SC 29574-6038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 14/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
128267 | (05) | SC |
D17714 | (02) | |
GP5462 | (05) | SC |