Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 11052 | TN |
NPI | 1265467062 |
---|---|
Provider Name | Janara Jones Huff |
First Address | Chattanooga, TN 37401-2503 |
Second Address | Chattanooga, TN 37403-1405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A98105 | (02) | TN |