Individual
JON C HUEBSCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1060 PEERLESS CROSSING DR, SUITE 200, CLEVELAND, TN 37312-3784
(423) 479-4165
(423) 478-1884
Mailing address
1060 PEERLESS CROSSING DR, SUITE 200, CLEVELAND, TN 37312-3784
(423) 479-4165
(423) 478-1884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18398
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3029742
—
TN
01
—
4135890
BCBS TN
TN
01
—
4179052
BCBS
SC
01
—
4179052
BCBS
TN
05
—
661507390B
—
GA
05
—
661507390C
—
GA
Enumeration date
02/15/2006
Last updated
09/04/2020
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