MEDICARE: DON HUGHEY 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	103TC0700X	Clinical Psychologist	001643	GA

General Provider Information

NPI Number	:	1912977810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DON HUGHEY MD

Provider Business Mailing Address
First Line	:	P O BOX 370407
Second Line	:	PATIENT ACCOUNTS OFFICE
City	:	DECATUR
State	:	GA
Zip	:	30034-3828
Country	:	US
Telephone Number	:	404-212-5454
Fax Number	:	404-243-2159

Provider Business Practice Location Address
First Line	:	3073 PANTHERSVILLE RD
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30034-3828
Country	:	US
Telephone Number	:	404-212-5454
Fax Number	:	404-243-2159

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	07/08/2007

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Directions to “ DON HUGHEY MD” Practice Location

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