Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | OS 389 05 | MS |
NPI | 1023049210 |
---|---|
Provider Name | Dr. Chris Dixon Hughes |
First Address | Clinton, MS 39056-4011 |
Second Address | Clinton, MS 39056-4011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 11/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
06271376 | (05) | MS |