Healthcare Provider Details

I. General information

NPI: 1700830437
Provider Name (Legal Business Name): JANICE E. HUFF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 05/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4243 COUNTRY LN
CHARLOTTE NC
28270-0203
US

IV. Provider business mailing address

4243 COUNTRY LN
CHARLOTTE NC
28270-0203
US

V. Phone/Fax

Practice location:
  • Phone: 704-641-3157
  • Fax: 704-846-6797
Mailing address:
  • Phone: 704-641-3157
  • Fax: 704-846-6797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number31998
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: