Provider Demographics
NPI:1083632285
Name:HUBBARD, F ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:F
Middle Name:ALAN
Last Name:HUBBARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7307
Mailing Address - Country:US
Mailing Address - Phone:910-763-6289
Mailing Address - Fax:910-251-1420
Practice Address - Street 1:1202 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7307
Practice Address - Country:US
Practice Address - Phone:910-763-6289
Practice Address - Fax:910-251-1420
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9400278208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC44405OtherBCBS NC
NC8944405Medicaid
NC020030300OtherRAILROAD MEDICARE
NC44405OtherBCBS NC
NCE55460Medicare UPIN