Healthcare Provider Details

I. General information

NPI: 1982996385
Provider Name (Legal Business Name): JULIA TERESE HUGHES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 07/15/2021
Certification Date: 07/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 BLUE RIDGE RD STE 300
RALEIGH NC
27612-8002
US

IV. Provider business mailing address

3100 BLUE RIDGE RD STE 300
RALEIGH NC
27612-8002
US

V. Phone/Fax

Practice location:
  • Phone: 919-781-7500
  • Fax: 919-645-3440
Mailing address:
  • Phone: 919-781-7500
  • Fax: 919-645-3440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number2014-00684
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: