Contract Details
The Hughston Clinic, P.C.
Facility name
Hughston Clinic - Albany
Provider ID
P000007233
NPI
1699951897
Tax ID
581155460
Effective Date
2/1/1994
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_140
Location Details
Address
117 Oakland Parkway
Leesburg, GA 31763
United States
County
Lee
Phone
2294830055 (Phone)
Billing Details
Address
P.O. Box 848249
Boston, MA 02284
Billing Phone
7063246661
Specialty Type
Surgery, Orthopedic
Map
Address