Individual
DEBORAH ANNE HAUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1995 BETHABARA RD, WINSTON-SALEM, NC 27106-3375
(336) 759-7596
(336) 759-3652
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 759-7596
(336) 759-3652
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102304
NC
363AM0700X
Medical Physician Assistant
102304
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962405688
RAILROAD MEDICARE
NC
05
—
8101293
—
NC
Enumeration date
05/27/2005
Last updated
10/29/2020
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