Individual
JACK HUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 893-4480
Mailing address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 893-4480
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301506546
MI
2085R0202X
Diagnostic Radiology Physician
Primary
MD67813
TN
390200000X
Student in an Organized Health Care Education/Training Program
010029533
LA
Other
Enumeration date
05/11/2017
Last updated
10/04/2023
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