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NPI Code Detail

MEDICARE: MR. MARCUS HUGHES MSW

MEDICARE: MR. MARCUS HUGHES MSW
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
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker
3106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1487194064
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARCUS HUGHES MSW
Provider Business Mailing Address
First Line : 3645 MARKETPLACE BLVD
Second Line : #130-278
City : EAST POINT
State : GA
Zip : 30344-5747
Country : US
Telephone Number : 404-734-1293
Fax Number : 404-653-0375
Provider Business Practice Location Address
First Line : 250 GEORGIA AVE SE STE 206
Second Line :
City : ATLANTA
State : GA
Zip : 30312-3000
Country : US
Telephone Number : 404-653-0374
Fax Number : 404-653-0375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2017
Last Update Date : 03/02/2017

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