Healthcare Provider Details

I. General information

NPI: 1932336997
Provider Name (Legal Business Name): TAMARA N HUFF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2009
Last Update Date: 07/21/2022
Certification Date: 04/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 MANCHESTER EXPY STE 101A
COLUMBUS GA
31904-6802
US

IV. Provider business mailing address

2300 MANCHESTER EXPY STE 101A
COLUMBUS GA
31904-6802
US

V. Phone/Fax

Practice location:
  • Phone: 706-322-6646
  • Fax: 706-322-2891
Mailing address:
  • Phone: 706-322-6646
  • Fax: 706-322-2891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number071999
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD.203890
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: