Individual
MATTHEW DAVID HUCKABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
969 LAKELAND DRIVE, EMERGENCY DEPARTMENT, JACKSON, MS 39216
(601) 200-6175
(601) 200-2020
Mailing address
PO BOX 23457, JACKSON, MS 39225-3457
(601) 200-6175
(601) 200-2020
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24709
MS
207P00000X
Emergency Medicine Physician
MD.208248
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08627073
—
MS
Enumeration date
04/09/2014
Last updated
06/08/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us