Healthcare Provider Details
I. General information
NPI: 1821195868
Provider Name (Legal Business Name): HUFF ORTHOPAEDIC GROUP, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2006
Last Update Date: 07/21/2022
Certification Date:
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
- Phone: 910-596-5633
- Fax: 910-596-0977
- Phone: 910-596-5633
- Fax: 910-596-0977
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | NC |
VIII. Authorized Official
Name: DR.
WILLIAM
ALEXANDER
HUFF
Title or Position: PRESIDENT
Credential: M.D.
Phone: 910-596-5633