Healthcare Provider Details

I. General information

NPI: 1134157779
Provider Name (Legal Business Name): ROBERT BRIAN HUFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 01/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 BERNARDIN AVE THE EYE CENTER PA STE 100
COLUMBIA SC
29204-2039
US

IV. Provider business mailing address

1655 BERNARDIN AVE THE EYE CENTER PA STE 100
COLUMBIA SC
29204-2039
US

V. Phone/Fax

Practice location:
  • Phone: 803-256-0641
  • Fax: 803-779-3649
Mailing address:
  • Phone: 803-256-0641
  • Fax: 803-779-3649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number18609
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: