Individual
GRANT W HUNTZINGER
Active
Individual
GRANT W HUNTZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
022420
GA
2085R0202X
Diagnostic Radiology Physician
Primary
MD11568
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000248476
—
GA
01
—
151364
BCBS OF GA
GA
05
—
3805918
—
TN
01
—
4073000
BCBS OF TN
TN
01
—
44770
BCBS OF TN
TN
01
—
511425
BCBS OF GA
GA
Enumeration date
07/21/2006
Last updated
02/22/2018
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