Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 056454 | GA |
NPI | 1205837374 |
---|---|
Provider Name | Dr. Terrance L Hughes |
First Address | Athens, GA 30604-7577 |
Second Address | Bogart, GA 30622 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 06/03/2014 |