Provider Demographics
NPI:1770567471
Name:HUFF, JOHN G (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:G
Last Name:HUFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:719 THOMPSON LN
Mailing Address - Street 2:SUITE 25000
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3609
Mailing Address - Country:US
Mailing Address - Phone:615-322-1585
Mailing Address - Fax:615-343-0746
Practice Address - Street 1:719 THOMPSON LN
Practice Address - Street 2:SUITE 25000
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3609
Practice Address - Country:US
Practice Address - Phone:615-322-1585
Practice Address - Fax:615-343-0746
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2021-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN115602085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3038411Medicaid
TN3791307Medicaid
TN3721492Medicaid
TN3038411Medicaid
B00139Medicare UPIN
TN3721492Medicare ID - Type UnspecifiedRA GROUP
TN3721492Medicaid