Provider Demographics
NPI:1053310086
Name:HUFFMAN, ALLAN D (MD07/05)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:D
Last Name:HUFFMAN
Suffix:
Gender:M
Credentials:MD07/05
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:561 FLEMING ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-4215
Mailing Address - Country:US
Mailing Address - Phone:828-693-1778
Mailing Address - Fax:828-697-9250
Practice Address - Street 1:561 FLEMING ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4215
Practice Address - Country:US
Practice Address - Phone:828-693-1778
Practice Address - Fax:828-697-9250
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33682208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891152HMedicaid
020041217OtherRAILROAD MEDICARE B
NC44414OtherBCBS
C70771Medicare UPIN
213736CMedicare PIN