Healthcare Provider Details

I. General information

NPI: 1740246446
Provider Name (Legal Business Name): MARK D HUGHES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2006
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6509 HIGHWAY 41A
PLEASANT VIEW TN
37146-7170
US

IV. Provider business mailing address

1335 ROCK SPRINGS ROAD
SMYRNA TN
37167-6108
US

V. Phone/Fax

Practice location:
  • Phone: 615-746-4040
  • Fax: 615-746-4044
Mailing address:
  • Phone: 615-459-5252
  • Fax: 615-459-5232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD40692
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: