Individual
DR. STEPHEN MICHAEL HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1432 KIMBROUGH RD, GERMANTOWN, TN 38138-2405
(901) 767-4499
(901) 761-0727
Mailing address
1432 KIMBROUGH RD, GERMANTOWN, TN 38138-2405
(901) 767-4499
(901) 761-0727
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
51045
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00284540
—
MS
05
—
003181608A
—
GA
05
—
1992022800
—
AL
05
—
1992022800
—
MO
05
—
206796001
—
AR
05
—
Q009896
—
TN
Enumeration date
05/01/2010
Last updated
01/22/2025
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