Individual
STEPHEN L. HUFFAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
105 VINE CREST CT, STE 500, GREENWOOD, SC 29646-8031
(864) 227-8932
Mailing address
105 VINE CREST CT, STE 500, GREENWOOD, SC 29646-8031
(864) 227-8932
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
387
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3771
—
SC
Enumeration date
07/07/2006
Last updated
12/05/2007
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