Healthcare Provider Details

I. General information

NPI: 1588632186
Provider Name (Legal Business Name): JAMES HUGH NORTH JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 01/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEDICAL PARK DR SUITE 400
CONCORD NC
28025-2982
US

IV. Provider business mailing address

200 MEDICAL PARK DR STE 400
CONCORD NC
28025-0906
US

V. Phone/Fax

Practice location:
  • Phone: 704-786-1108
  • Fax: 704-782-1826
Mailing address:
  • Phone: 704-786-1108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number057406
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number2006-00306
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: