Contract Details
The Hughston Clinic, P.C.
Facility name
Hughston Clinic - Thomaston
Provider ID
P000007237
NPI
1942442165
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
522 North Center Street
Thomaston, GA 30286
United States
County
Upson
Phone
7066464371 (Phone)
Billing Details
Address
P.O. Box 848249
Boston, MA 02284
Billing Phone
7063246661
Specialty Type
Surgery, Orthopedic
Map
Address