Provider Demographics
NPI:1336108299
Name:HAYWOOD, HUBERT BENBURY III (MD)
Entity Type:Individual
Prefix:DR
First Name:HUBERT
Middle Name:BENBURY
Last Name:HAYWOOD
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2304 WESVILL CT
Mailing Address - Street 2:SUITE 240
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-2973
Mailing Address - Country:US
Mailing Address - Phone:919-571-1567
Mailing Address - Fax:919-782-1472
Practice Address - Street 1:2304 WESVILL CT
Practice Address - Street 2:SUITE 240
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-2973
Practice Address - Country:US
Practice Address - Phone:919-571-1567
Practice Address - Fax:919-782-1472
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC17987207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC84421Medicare UPIN