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NPI Code Detail

MEDICARE: MOLLY HUGHES

MEDICARE: MOLLY HUGHES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorAPC004367GA

General Provider Information

NPI Number : 1275902769
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY HUGHES
Provider Business Mailing Address
First Line : 678 TOM BREWER RD
Second Line :
City : LOGANVILLE
State : GA
Zip : 30052-4005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 678 TOM BREWER RD
Second Line :
City : LOGANVILLE
State : GA
Zip : 30052-4005
Country : US
Telephone Number : 770-554-3599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2015
Last Update Date : 09/15/2015

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