Healthcare Provider Details

I. General information

NPI: 1356327233
Provider Name (Legal Business Name): RONALD EUGENE HUGHES M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 05/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 SE RAILROAD ST
WHITAKERS NC
27891-8897
US

IV. Provider business mailing address

PO BOX 640
ROANOKE RAPIDS NC
27870-0640
US

V. Phone/Fax

Practice location:
  • Phone: 252-437-2171
  • Fax: 252-437-1520
Mailing address:
  • Phone: 252-536-5440
  • Fax: 252-536-5444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25149
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: