Healthcare Provider Details

I. General information

NPI: 1912060013
Provider Name (Legal Business Name): RICHARD P HUGHES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 02/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3909 LANCASTER HWY CATOWBA OCCUPATIONAL MEDICINE
RICHBURG SC
29729
US

IV. Provider business mailing address

PO BOX 1511
CHESTER SC
29706
US

V. Phone/Fax

Practice location:
  • Phone: 803-789-5221
  • Fax: 803-789-5323
Mailing address:
  • Phone: 803-581-2800
  • Fax: 803-581-4396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number7988
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: