Healthcare Provider Details

I. General information

NPI: 1770567471
Provider Name (Legal Business Name): JOHN G HUFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 04/11/2021
Certification Date: 04/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 THOMPSON LN SUITE 25000
NASHVILLE TN
37204-3609
US

IV. Provider business mailing address

719 THOMPSON LN SUITE 25000
NASHVILLE TN
37204-3609
US

V. Phone/Fax

Practice location:
  • Phone: 615-322-1585
  • Fax: 615-343-0746
Mailing address:
  • Phone: 615-322-1585
  • Fax: 615-343-0746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number11560
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: