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NPI Code Detail

MEDICARE: DR. TABITHA NICHOLE HUGHLEY D.C.

MEDICARE:  DR. TABITHA NICHOLE HUGHLEY  D.C.
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
1111N00000XChiropractorCHIR008851GA

General Provider Information

NPI Number : 1508134610
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TABITHA NICHOLE HUGHLEY D.C.
Provider Business Mailing Address
First Line : 4576 MEMORIAL DR
Second Line :
City : DECATUR
State : GA
Zip : 30032-1447
Country : US
Telephone Number : 404-905-9153
Fax Number : 404-381-2379
Provider Business Practice Location Address
First Line : 4576 MEMORIAL DR
Second Line :
City : DECATUR
State : GA
Zip : 30032-1447
Country : US
Telephone Number : 404-905-9153
Fax Number : 404-381-2379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2011
Last Update Date : 02/08/2021

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Directions to “ DR. TABITHA NICHOLE HUGHLEY D.C.” Practice Location

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