Individual
JOHN B. HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 903-7841
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2255
(336) 903-7841
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2007-00765
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907218
—
NC
Enumeration date
05/01/2007
Last updated
12/19/2012
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