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1750500245

NPI Code Detail

MEDICARE: SHANNON HUFF MD

MEDICARE: SHANNON HUFF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	40320	SC
2	207V00000X	Obstetrics & Gynecology Physician	0101287348	VA
3	207V00000X	Obstetrics & Gynecology Physician	2014-01558	NC

General Provider Information

NPI Number	:	1750500245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON HUFF MD

Provider Business Mailing Address
First Line	:	PO BOX 19305
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28219-9305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4901 DAWN DR STE 3200
Second Line	:
City	:	LUMBERTON
State	:	NC
Zip	:	28360-8288
Country	:	US
Telephone Number	:	910-735-8040
Fax Number	:	910-735-8045

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	02/04/2026

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Directions to “ SHANNON HUFF MD” Practice Location

Language	Start Address	Practice Location

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