Individual
DR. TIMOTHY ALAN BUSTEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4725 COUNTRY CLUB RD, MOREHEAD CITY, NC 28557-6218
(252) 727-5200
(252) 727-5205
Mailing address
4725 COUNTRY CLUB RD, MOREHEAD CITY, NC 28557-6218
(252) 727-5200
(252) 727-5205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9900447
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12005
BLUE CROSS BLUE SHIELD
—
01
—
360659700
US DEPT OF LABOR
—
01
—
7817530001
CIGNA
—
05
—
8912005
—
NC
01
—
A7584
MEDCOST
—
01
—
P00007282
PALMETTO RAILROADMEDICARE
—
Enumeration date
01/25/2006
Last updated
11/23/2009
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