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NPI Code Detail

MEDICARE: MR. SEAN MAXWELL HUFFORD PA-C

MEDICARE:  MR. SEAN MAXWELL HUFFORD  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant
21710I1002XIndependent Duty Corpsman

General Provider Information

NPI Number : 1881071595
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SEAN MAXWELL HUFFORD PA-C
Provider Business Mailing Address
First Line : 2412 N OAK ST
Second Line :
City : VALDOSTA
State : GA
Zip : 31602-2567
Country : US
Telephone Number : 229-244-1400
Fax Number : 229-244-5512
Provider Business Practice Location Address
First Line : COMMANDING OFFICER
Second Line : USS TUSCON SSN 770
City : FPO
State : AP
Zip : 96674-2397
Country : US
Telephone Number : 909-262-4582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2015
Last Update Date : 03/17/2026

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Directions to “ MR. SEAN MAXWELL HUFFORD PA-C” Practice Location

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