Healthcare Provider Details

I. General information

NPI: 1073734273
Provider Name (Legal Business Name): JOHN CHRISTOPHER HUGHES L. AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 BISHOP STREET SUITE F-7
ATLANTA GA
30318
US

IV. Provider business mailing address

4675 ANDALUSIA TRAIL
ATLANTA GA
30360
US

V. Phone/Fax

Practice location:
  • Phone: 770-490-0427
  • Fax:
Mailing address:
  • Phone: 770-458-3953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number0038
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: