Individual
THOMAS S HUDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16031
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001546
BLUE CROSS
AL
05
—
000001546
—
AL
01
—
000089115
BLUE CROSS
AL
05
—
000089115
—
AL
01
—
051504464
BLUE CROSS
AL
01
—
21202
HEALTHSPRING OF ALABAMA
AL
01
—
E90464
VIVA
AL
Enumeration date
06/29/2006
Last updated
06/10/2008
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