Individual
DR. GEORGE VAN BUREN HUFFMON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2208 S 17TH ST, SUITE 201, WILMINGTON, NC 28401-7515
(910) 763-3333
(910) 763-3336
Mailing address
2208 S. 17TH STREET, SUITE 201, WILMINGTON, NC 28401-7594
(910) 763-3333
(910) 763-3336
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9800571
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104765400
US DEPT OF LABOR ID
NC
01
—
1134V
BLUE CROSS/BLUE SHIELD
NC
05
—
891134V
—
NC
Enumeration date
02/03/2006
Last updated
08/29/2013
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