Healthcare Provider Details

I. General information

NPI: 1811101256
Provider Name (Legal Business Name): DAVID M. HUFFMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 03/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5616 BRAINERD RD SUITE 208
CHATTANOOGA TN
37411-5310
US

IV. Provider business mailing address

5616 BRAINERD RD SUITE 208
CHATTANOOGA TN
37411-5310
US

V. Phone/Fax

Practice location:
  • Phone: 423-265-3561
  • Fax: 423-265-1364
Mailing address:
  • Phone: 423-265-3561
  • Fax: 423-265-1364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberTNMD19974
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: