Individual
DR. RANDY FORD HUFFINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
JAMES H. QUILLEN/VAMC, CORNER OF SIDNEY AND LAMONT, JOHNSON CITY, TN 37684
(423) 979-3494
(423) 979-3428
Mailing address
516 LONGVIEW DR, JOHNSON CITY, TN 37604-3808
(423) 979-3494
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000004242
TN
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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