Keith B. Huckaby M.D.

NPI 1093733222 - Specialist - 174400000X

NPI Details
NPI 1093733222
Gender Male
Enumeration Date 07/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
519 W MAIN ST
THOMASTON GA, 30286-3504, US
Phone (706) 647-1752
Fax (706) 647-0339
Business Location
519 W MAIN ST
THOMASTON GA, 30286-3504, US
Phone (706) 647-1752
Fax (706) 647-0339
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number 27573
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According to our database, Dr. Keith B. Huckaby M.D. NPI is 1093733222, taxonomy code is 174400000X and license number is 27573, license state is located at Georgia. Keith B. Huckaby M.D. physically located at 519 W Main St, Thomaston GA, 30286-3504. NPI Number Keith B. Huckaby M.D. has the Individual type.

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1093733222 NPI number is provided on an as is basis without warranty of any kind. 1093733222 is maintained by the National Plan & Provider Enumeration System. The contents of Keith B. Huckaby M.D. are for informational purposes only.