Healthcare Provider Details

I. General information

NPI: 1811171838
Provider Name (Legal Business Name): RHOME LYNN HUGHES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2007
Last Update Date: 12/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1364 CLIFTON RD NE DEPARTMENT OF PATHOLOGY
ATLANTA GA
30322-1059
US

IV. Provider business mailing address

1364 CLIFTON ROAD NE DEPARTMENT OF PATHOLOGY
ATLANTA GA
30322
US

V. Phone/Fax

Practice location:
  • Phone: 404-712-8213
  • Fax: 404-727-2519
Mailing address:
  • Phone: 404-712-8213
  • Fax: 404-727-2519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number002069
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: