Individual
JOHN COWAN HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12341 STRICKLAND RD, RALEIGH, NC 27613-1273
(919) 865-8000
Mailing address
8604 KIMILLIE CT, WAKE FOREST, NC 27587-3523
(919) 995-5854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10943
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2020
Last updated
03/21/2024
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