Individual
TINA DENISE RUSSELL HUGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 IRELAND DR STE 103, FAYETTEVILLE, NC 28304-3329
(910) 491-5971
Mailing address
1111 IRELAND DR STE 103, FAYETTEVILLE, NC 28304-3329
(910) 583-9987
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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