Individual
CALTON B HUCKABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 THIRD STREET, SUITE 200, MACON, GA 31201-3294
(478) 464-2600
(478) 738-0891
Mailing address
610 THIRD STREET, SUITE 200, MACON, GA 31201-3294
(478) 464-2600
(478) 738-0891
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
018910
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000221009A
—
GA
01
—
001233
BCBS
—
Enumeration date
01/30/2006
Last updated
02/08/2013
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