Provider Demographics
NPI:1487024329
Name:HUFFMAN, ERIK T (PA-C)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:T
Last Name:HUFFMAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2919 BEECHTREE DR STE 1100
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-6934
Mailing Address - Country:US
Mailing Address - Phone:919-897-2260
Mailing Address - Fax:919-897-2261
Practice Address - Street 1:2919 BEECHTREE DR STE 1100
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-6934
Practice Address - Country:US
Practice Address - Phone:919-897-2260
Practice Address - Fax:919-897-2261
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2018-00571363AM0700X
FLPA9109012363AM0700X
SC2561363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical