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Individual

THOMAS S HUDDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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