Doctor Name: | DR. RONALD CHARLES HUFFMAN |
NPI Number: | 1730182957 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 24600 |
Business Practice Address: | 798 Oak Ridge Farm Hwy Ste A Mooresville, NC - 281157924 |
Business Phone Number: | 7046580011 |
Business Fax Number: | |
Mailing Address: | 798 Oak Ridge Farm Hwy, Ste A MOORESVILLE |
State: | NC |
Postal Code: | 281157924 |
Phone Number: | 7046580011 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2005 |
NPI Last Update Date: | 12/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 24600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |