Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 35032563 | OH |
NPI | 1285603357 |
---|---|
Provider Name | Dr. Thomas Michael Hughes |
First Address | Camden, OH 45311-9525 |
Second Address | Camden, OH 45311-9525 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 06/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A75407 | (02) |