Healthcare Provider Details

I. General information

NPI: 1548240997
Provider Name (Legal Business Name): HUBERT L FIERY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 04/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9936 US HIGHWAY 311
ARCHDALE NC
27263-8826
US

IV. Provider business mailing address

PO BOX 5418
ASHEBORO NC
27204-5418
US

V. Phone/Fax

Practice location:
  • Phone: 336-861-0640
  • Fax: 336-861-0641
Mailing address:
  • Phone: 336-625-2333
  • Fax: 336-625-5511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9700547
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: