Roland Keith Huffaker
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
1319 Sunset Dr Suite 103
Johnson City
, Tennessee 37604
Roland Keith Huffaker
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
1319 Sunset Dr Suite 103
Johnson City
, Tennessee 37604
(423) 439-7235
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
- Gynecologist
Languages spoken
- English
Location
First Address
- Roland Keith Huffaker
- Po Box 699
- Mountain Home, TN
- Zip : 37684-0699
- Fax : (423) 439-7235
- Phone : (423) 439-7272
Second Address
- Roland Keith Huffaker
- 1319 Sunset Dr Suite 103
- Johnson City, TN
- Zip : 37604
- Fax : (423) 282-4698
- Phone : (423) 439-7246
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD44928 | TN |
| N | 207VG0400X | Gynecologist | MD44928 | TN |
National Provider Identifier
| NPI | 1881608693 |
|---|---|
| Provider Name | Roland Keith Huffaker |
| First Address | Mountain Home, TN 37684-0699 |
| Second Address | Johnson City, TN 37604 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 23/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1514562 | (05) | TN |
| 3714470 | GROUP MEDICAID # (01) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.