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Individual

EMILY DENISE HUFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501
(770) 534-0110
(770) 534-2555
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN170009
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003162060A
GA
05
003162060E
GA
01
03111123
AMERIGROUP
GA
01
1137849
WELLCARE
GA
Enumeration date
06/19/2015
Last updated
09/12/2018
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