Provider Demographics
NPI:1124082557
Name:HUGGINS, JAMES PAUL JR (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PAUL
Last Name:HUGGINS
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1627 S IRBY ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-3447
Mailing Address - Country:US
Mailing Address - Phone:843-665-9192
Mailing Address - Fax:843-665-9320
Practice Address - Street 1:1627 S IRBY ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-3447
Practice Address - Country:US
Practice Address - Phone:843-665-9192
Practice Address - Fax:843-665-9320
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCCH2199111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH2199Medicaid
SCU83928Medicare UPIN