Individual
HARRY TURNER HULBERT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1995 BETHABARA RD, WINSTON SALEM, NC 27106-3375
(336) 759-7596
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 759-7596
(336) 759-3652
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000101889
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7302753
AETNA
—
01
—
94707
MEDCOST
NC
Enumeration date
01/13/2006
Last updated
08/05/2015
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