Individual
DR. MICHAEL BRADFORD HUGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1915 W PARK DR, SUITE 101, NORTH WILKESBORO, NC 28659-3777
(336) 651-8700
(336) 651-8710
Mailing address
1915 W PARK DR, SUITE 101, NORTH WILKESBORO, NC 28659-3777
(336) 651-8700
(336) 651-8710
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207426B
MEDICARE PTAN, INDIVIDUAL
NC
01
—
2335816
MEDICARE PTAN, GROUP
NC
05
—
8944478
—
NC
01
—
P00630485
RR MEDICARE
NC
Enumeration date
03/09/2006
Last updated
06/20/2011
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