Individual
CHARLES T HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 N CEDAR AVE, COOKEVILLE, TN 38501
(931) 528-1992
(931) 526-4381
Mailing address
203 N CEDAR AVE, COOKEVILLE, TN 38501-2498
(931) 528-1992
(931) 526-4381
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101237006
VA
207P00000X
Emergency Medicine Physician
038564
TN
208600000X
Surgery Physician
Primary
MD38564
TN
Other
Enumeration date
07/02/2006
Last updated
07/10/2019
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