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1710514609
THOMAS BERRY HUFFAKER
ATLANTA, GA
NPI
1710514609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: GA 98882)
Enumeration Date
2020-03-23
Last Update Date
2024-08-16
Business Address
THOMAS BERRY HUFFAKER
875 JOHNSON FY RD NE STE 300
ATLANTA, GA 30342-1418
Phone number: 404-835-4191
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Mailing Address
THOMAS BERRY HUFFAKER
2122 S ONEIDA ST
SLC, UT 84109-1121
Phone number: 801-662-8557
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