Provider Demographics
NPI:1548240997
Name:FIERY, HUBERT L (MD)
Entity Type:Individual
Prefix:
First Name:HUBERT
Middle Name:L
Last Name:FIERY
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:PO BOX 5418
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27204-5418
Mailing Address - Country:US
Mailing Address - Phone:336-625-2333
Mailing Address - Fax:336-625-5511
Practice Address - Street 1:9936 US HIGHWAY 311
Practice Address - Street 2:
Practice Address - City:ARCHDALE
Practice Address - State:NC
Practice Address - Zip Code:27263-8826
Practice Address - Country:US
Practice Address - Phone:336-861-0640
Practice Address - Fax:336-861-0641
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9700547207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891065RMedicaid
NC2239545HMedicare UPIN
NC891065RMedicaid
NC2239545FMedicare ID - Type Unspecified