Hughes, Tara J

Hughes, Tara J is an individual health care provider with primary practice located at 851 Leonard Fulghum Dr Ste 100 , Mount Pleasant SC 29464-3793. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Family Medicine. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Hughes, Tara J can be contacted via phone (843) 849-1300.

Contact Information

Primary practice address
851 Leonard Fulghum Dr Ste 100 Mount Pleasant SC 29464-3793
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 812 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A812 South Carolina

Profile Details

NPI number 1255367322
LBN Legal business name Hughes, Tara J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255367322 NPPES
South Carolina MEDICAID 2282PA

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