Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 1438 | NE |
NPI | 1558773457 |
---|---|
Provider Name | Dr. Joel Hughes |
First Address | Biloxi, MS 39534-2508 |
Second Address | Keesler Afb, MS 39534-2508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2014 |
Last Update Date | 15/11/2021 |