Organization
RICHARD C HUDDLESTON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HUDDLESTON MD (PHYSICIAN)
(615) 223-0200
Entity
Organization
Contact information
Practice address
300 STONECREST BLVD STE 490, SMYRNA, TN 37167-6817
(615) 223-0200
(615) 223-8704
Mailing address
300 STONECREST BLVD STE 490, SMYRNA, TN 37167-6817
(615) 223-0200
(615) 223-8704
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
26462
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3089841
—
TN
Enumeration date
09/10/2007
Last updated
09/10/2007
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