| Doctor Name: | GEORGE HUGHES |
| NPI Number: | 1063824860 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 4301050924 |
| Business Practice Address: | 6630 Sunburst Dr Portage, MI - 49024 |
| Business Phone Number: | 2695012606 |
| Business Fax Number: | 2695855971 |
| Mailing Address: | 6630 Sunburst Dr, PORTAGE |
| State: | MI |
| Postal Code: | 490241146 |
| Phone Number: | 2695012606 |
| Fax Number: | 2695855971 |
| NPI Enumeration Date: | 05/28/2014 |
| NPI Last Update Date: | 07/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301050924 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |