Healthcare Provider Details

I. General information

NPI: 1124526355
Provider Name (Legal Business Name): HUFF ORTHOPAEDIC GROUP, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2018
Last Update Date: 03/10/2021
Certification Date: 03/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 BEAMAN ST
CLINTON NC
28328-2602
US

IV. Provider business mailing address

520 BEAMAN ST
CLINTON NC
28328-2602
US

V. Phone/Fax

Practice location:
  • Phone: 910-596-5633
  • Fax: 910-596-0977
Mailing address:
  • Phone: 910-596-5633
  • Fax: 910-596-0977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number9800570
License Number StateNC

VIII. Authorized Official

Name: DR. WILLIAM ALEXANDER HUFF
Title or Position: PRESIDENT
Credential: MD
Phone: 910-596-5633