Individual
HUNTINGTON HARDISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4389 BEAUFORT RD., HAVELOCK, NC 28532
(252) 466-0500
Mailing address
4389 BEAUFORT RD., HAVELOCK, NC 28532
(252) 466-0500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01080829A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD0000
MEDICARE UPIN
CA
Enumeration date
06/27/2017
Last updated
08/30/2022
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