Provider Demographics
NPI:1588918312
Name:HUGHEY, PAUL M (DPH)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:M
Last Name:HUGHEY
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 CRIMSON WAY
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-7211
Mailing Address - Country:US
Mailing Address - Phone:615-969-8199
Mailing Address - Fax:615-754-1455
Practice Address - Street 1:1097 WESTON DR
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3493
Practice Address - Country:US
Practice Address - Phone:615-758-4750
Practice Address - Fax:615-758-4755
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6052183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist