Healthcare Provider Details

I. General information

NPI: 1609443027
Provider Name (Legal Business Name): CASEY ANNE HUGHES DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2021
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 PROFESSIONAL PKWY
WOODSTOCK GA
30188-4093
US

IV. Provider business mailing address

2000 PROFESSIONAL PKWY
WOODSTOCK GA
30188-4093
US

V. Phone/Fax

Practice location:
  • Phone: 770-517-0250
  • Fax:
Mailing address:
  • Phone: 770-517-0250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number99022
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: