Healthcare Provider Details

I. General information

NPI: 1164461190
Provider Name (Legal Business Name): HUGHSTON CLINIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6262 VETERANS PKWY
COLUMBUS GA
31909-9517
US

IV. Provider business mailing address

6262 VETERANS PKWY
COLUMBUS GA
31909-9517
US

V. Phone/Fax

Practice location:
  • Phone: 706-324-6661
  • Fax: 706-494-3201
Mailing address:
  • Phone: 706-494-3193
  • Fax: 706-494-3201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MARLA MCMEANS
Title or Position: SYSTEM DIRECTOR OF CREDENTIALING
Credential:
Phone: 706-494-3171