Individual
DR. GEORGE HUDDLESTON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 7TH ST SE, DECATUR, AL 35601-3337
(256) 973-2909
(256) 973-2552
Mailing address
1201 7TH ST SE, DECATUR, AL 35601-3337
(256) 973-2909
(256) 973-2909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47192
AL
207R00000X
Internal Medicine Physician
A125504
CA
208M00000X
Hospitalist Physician
Primary
47192
AL
208M00000X
Hospitalist Physician
Q9379
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363523701
—
TX
Enumeration date
04/06/2011
Last updated
09/15/2023
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