MEDICARE: DR. JOE LEONARD HUGHES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	11122	GA

General Provider Information

NPI Number	:	1114263878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOE LEONARD HUGHES MD

Provider Business Mailing Address
First Line	:	4981 LAKE FJORD PASS
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30068-1638
Country	:	US
Telephone Number	:	770-992-1489
Fax Number	:

Provider Business Practice Location Address
First Line	:	4981 LAKE FJORD PASS
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30068-1638
Country	:	US
Telephone Number	:	770-992-1589
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2012
Last Update Date	:	12/27/2012

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