MEDICARE: GREGORY G 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	207L00000X	Anesthesiology Physician	034619	GA

General Provider Information

NPI Number	:	1558354233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY G HUGHES MD

Provider Business Mailing Address
First Line	:	1870 INDEPENDENCE SQ STE D
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30338-5155
Country	:	US
Telephone Number	:	770-396-6190
Fax Number	:	770-396-5541

Provider Business Practice Location Address
First Line	:	3200 DOWNWOOD CIR NW
Second Line	:	4TH FLOOR
City	:	ATLANTA
State	:	GA
Zip	:	30327-1610
Country	:	US
Telephone Number	:	404-352-2005
Fax Number	:	404-352-2008

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

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	07/09/2007

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