Individual
PAUL RUSS HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATP
Contact information
Practice address
100B4 GT THAMES DRIVE, STARKVILLE, MS 39759
(662) 615-1870
(662) 615-1871
Mailing address
100B4 GT THAMES DRIVE, STARKVILLE, MS 39759
(662) 615-1870
(662) 615-1871
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT1681
MS
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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