MEDICARE: EMILY HUGGINS

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
1	163WG0000X	General Practice Registered Nurse	RN203800	GA

General Provider Information

NPI Number	:	1942076153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY HUGGINS

Provider Business Mailing Address
First Line	:	575 MOUNT OLIVE CHURCH RD
Second Line	:
City	:	TIFTON
State	:	GA
Zip	:	31794-2629
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	575 MOUNT OLIVE CHURCH RD
Second Line	:
City	:	TIFTON
State	:	GA
Zip	:	31794-2629
Country	:	US
Telephone Number	:	229-392-1370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2023
Last Update Date	:	11/29/2023

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Directions to “ EMILY HUGGINS ” Practice Location

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