Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 13830 | TN |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 151351 | GA |
NPI | 1003072273 |
---|---|
Provider Name | Ms. Sandra Candece Huggins |
First Address | Chattanooga, TN 37421-7133 |
Second Address | Athens, TN 37303-4922 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 06/01/2020 |