Healthcare Provider Details

I. General information

NPI: 1477928042
Provider Name (Legal Business Name): MEGHAN HUFF PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGHAN SWEENEY

II. Dates (important events)

Enumeration Date: 12/08/2015
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 EAST BLVD
CHARLOTTE NC
28203-5828
US

IV. Provider business mailing address

3610 SHARON RIDGE LN
CHARLOTTE NC
28210-6851
US

V. Phone/Fax

Practice location:
  • Phone: 704-537-5471
  • Fax:
Mailing address:
  • Phone: 704-231-0149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0010-07282
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: