Provider Demographics
NPI:1144649278
Name:HUGHES, GAYLE
Entity type:Individual
Prefix:MRS
First Name:GAYLE
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 RUTLEDGE ST
Mailing Address - Street 2:
Mailing Address - City:DENMARK
Mailing Address - State:SC
Mailing Address - Zip Code:29042-1155
Mailing Address - Country:US
Mailing Address - Phone:803-541-1190
Mailing Address - Fax:803-541-1193
Practice Address - Street 1:11015 ELLENTON ST
Practice Address - Street 2:
Practice Address - City:BARNWELL
Practice Address - State:SC
Practice Address - Zip Code:29812-7307
Practice Address - Country:US
Practice Address - Phone:803-541-1190
Practice Address - Fax:803-541-1193
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12838163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health