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NPI Code Detail

MEDICARE: DR. JEWELL JACKSON HUFFMAN III M.D.

MEDICARE: DR. JEWELL JACKSON HUFFMAN III M.D.
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
1207Q00000XFamily Medicine Physician20352MS

General Provider Information

NPI Number : 1962532929
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEWELL JACKSON HUFFMAN III M.D.
Provider Business Mailing Address
First Line : 1301 VETERANS MEMORIAL BLVD
Second Line :
City : EUPORA
State : MS
Zip : 39744-2064
Country : US
Telephone Number : 662-258-7200
Fax Number : 662-258-5871
Provider Business Practice Location Address
First Line : 1301 VETERANS MEMORIAL BLVD
Second Line :
City : EUPORA
State : MS
Zip : 39744-2064
Country : US
Telephone Number : 662-258-7200
Fax Number : 662-258-5871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 01/20/2016

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