Individual
DAVID JORDAN FITZHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 COSGROVE AVE, SUITE 110, CHAPEL HILL, NC 27514-5276
(919) 929-9612
Mailing address
DEPT 453 PO BOX 1000, MEMPHIS, TN 38148-0001
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
2009-00998
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962627547
—
NC
01
—
NC7609A
MEDICARE PTAN
NC
Enumeration date
04/17/2007
Last updated
10/30/2023
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