Individual
JOHN HUMRICKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7000
(910) 667-9222
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(109) 667-5830
(910) 815-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021-02465
NC
208600000X
Surgery Physician
LL38363
SC
390200000X
Student in an Organized Health Care Education/Training Program
239423
NC
Other
Enumeration date
07/07/2015
Last updated
11/21/2025
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