Vivan Elizabeth 'lisa' Huddleston MD

NPI 1093784209 - Pediatrics - 208000000X

NPI Details
NPI 1093784209
Gender Female
Enumeration Date 03/17/2006
Last Updated 06/01/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1405 STRONG AVE
GREENWOOD MS, 38930-4035, US
Phone (662) 459-7030
Fax
Business Location
PO BOX 1410
ATTN: CLINIC ADMINISTRATION
GREENWOOD MS, 38935-1410, US
Phone (662) 459-7285
Fax
Toxanomy
Taxonomy Code 208000000X
License State Mississippi
License Number 18482
Remove 1093784209 NPI Number
 

According to our database, Dr. Vivan Elizabeth 'lisa' Huddleston MD NPI is 1093784209, taxonomy code is 208000000X and license number is 18482, license state is located at Mississippi. Vivan Elizabeth 'lisa' Huddleston MD physically located at 1405 Strong Ave, Greenwood MS, 38930-4035. NPI Number Vivan Elizabeth 'lisa' Huddleston MD has the Individual type.

Sponsored links

1093784209 NPI number is provided on an as is basis without warranty of any kind. 1093784209 is maintained by the National Plan & Provider Enumeration System. The contents of Vivan Elizabeth 'lisa' Huddleston MD are for informational purposes only.