Healthcare Provider Details

I. General information

NPI: 1114409158
Provider Name (Legal Business Name): ERIC SHAWN HUFF PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2018
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 TWINING ST BLDG 760
MAXWELL AFB AL
36112-6027
US

IV. Provider business mailing address

524 LIBERTY PKWY
VESTAVIA AL
35242-7531
US

V. Phone/Fax

Practice location:
  • Phone: 334-953-5200
  • Fax: 334-953-8607
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.2666
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: