Individual
DR. THOMAS L HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 PROFESSIONAL PARK DR, SUITE 21, JOHNSON CITY, TN 37604-6529
(423) 434-6300
(423) 434-6312
Mailing address
3 PROFESSIONAL PARK DR, SUITE 21, JOHNSON CITY, TN 37604-6529
(423) 434-6300
(423) 434-6312
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15782
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3052706
—
TN
05
—
5903977
—
NC
Enumeration date
01/26/2006
Last updated
11/08/2013
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