Individual
DR. CHARLES AUSTIN HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1189 E COUNTY LINE RD, JACKSON, MS 39211-1836
(601) 308-2022
Mailing address
741 CHICKASAW AVE, JACKSON, MS 39206-5810
(662) 610-5174
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4111-20
MS
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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