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NPI Code Detail

MEDICARE: WILLIAM STOKES HOUCK III M.D.

MEDICARE:   WILLIAM STOKES HOUCK III M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0206XPediatric Gastroenterology Physician9700987NC

Other Identifiers

General Provider Information

NPI Number : 1063430460
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM STOKES HOUCK III M.D.
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 704-316-5060
Fax Number : 704-316-5069
Provider Business Practice Location Address
First Line : 1918 RANDOLPH RD STE 210
Second Line :
City : CHARLOTTE
State : NC
Zip : 28207-1109
Country : US
Telephone Number : 704-316-5060
Fax Number : 704-316-5069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 07/31/2025

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Directions to “ WILLIAM STOKES HOUCK III M.D.” Practice Location

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