Healthcare Provider Details

I. General information

NPI: 1346410669
Provider Name (Legal Business Name): GEORGIA LOU HUFF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2008
Last Update Date: 03/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FREEDOM WAY # 26
AUGUSTA GA
30904-6258
US

IV. Provider business mailing address

1604 N BOULEVARD
ANDERSON SC
29621-4739
US

V. Phone/Fax

Practice location:
  • Phone: 706-733-0188
  • Fax: 706-731-7190
Mailing address:
  • Phone: 864-934-2398
  • Fax: 864-225-2301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number002919
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: