Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 80029 | MS |
Y | 222Z00000X | Podiatrist | 80029 | MS |
NPI | 1033286307 |
---|---|
Provider Name | Dr. Lowery H Huff |
First Address | Jackson, MS 39216 |
Second Address | Jackson, MS 39216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T21294 | (02) |