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Individual

CLARENCE POPE HUGGINS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3034
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9401416
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050047835
RAILROAD-MEDICARE
NC
01
1187212
CIGNA
NC
01
132ET
BCBS NC
NC
01
20523
PARTNERS
NC
01
62740
MEDCOST
NC
05
89132ET
NC
Enumeration date
08/31/2006
Last updated
04/06/2021
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