MEDICARE: JUSTIN 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	208600000X	Surgery Physician	46755	AL

General Provider Information

NPI Number	:	1538665500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN HUGHES MD

Provider Business Mailing Address
First Line	:	52 MEDICAL PARK DR E STE 308
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35235-3433
Country	:	US
Telephone Number	:	205-838-3025
Fax Number	:	205-838-0411

Provider Business Practice Location Address
First Line	:	52 MEDICAL PARK DR E STE 308
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35235-3433
Country	:	US
Telephone Number	:	205-838-3025
Fax Number	:	205-838-0411

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

Provider Enumeration Date	:	03/30/2018
Last Update Date	:	01/16/2024

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