Dr. Vivian Elizabeth 'lisa' Huddleston
MD | Pediatrics | Female
Dr. Vivian Elizabeth 'lisa' Huddleston, MD is a Greenwood, Mississippi based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Vivian Elizabeth 'lisa' Huddleston is
1405 Strong Ave, Greenwood, Mississippi - 38930-4035. She can be contacted on phone at
662-459-7030.
Dr. Vivian Elizabeth 'lisa' Huddleston is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Vivian Elizabeth 'lisa' Huddleston is
1093784209 which was assigned by NPPES on 17 Mar, 2006 and it was last updated on 20 Aug, 2019.
Dr. Vivian Elizabeth 'lisa' Huddleston license number is
18482 for Pediatrics (208000000X) in Mississippi.
Dr. Vivian Elizabeth 'lisa' Huddleston is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Vivian Elizabeth 'lisa' Huddleston basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Vivian Elizabeth 'lisa' Huddleston |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Vivian Elizabeth 'lisa' Huddleston address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1405 Strong Ave
Greenwood, MS, 38930-4035
United States |
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| Phone Number : | 662-459-7030 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1093784209 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Mar, 2006 |
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| Last Updated On : | 20 Aug, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Vivian Elizabeth 'lisa' Huddleston are as mentioned. Primary taxonomy code for Dr. Vivian Elizabeth 'lisa' Huddleston, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 18482 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Vivian Elizabeth 'lisa' Huddleston such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 06771370 | MEDICAID | MS | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1410, Attn: Clinic Administration
Greenwood, MS, 38935-1410
United States |
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| Phone Number : | 662-459-7285 |
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Business Location:
Patients can refer following map for directions to
Dr. Vivian Elizabeth 'lisa' Huddleston practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.