Provider Demographics
NPI:1578518882
Name:HUGGINS, C. EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:C.
Middle Name:EDWARD
Last Name:HUGGINS
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 751649
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1649
Mailing Address - Country:US
Mailing Address - Phone:843-789-1620
Mailing Address - Fax:843-724-2440
Practice Address - Street 1:2097 HENRY TECKLENBURG DR STE 312W
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5744
Practice Address - Country:US
Practice Address - Phone:843-789-1800
Practice Address - Fax:843-606-8036
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5951174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00638315OtherRAILROAD MEDICARE
SC059518Medicaid
SC5551OtherMEDICARE GROUP #
SCGP4883OtherMEDICAID GROUP #
SC059518Medicaid
SCGP4883OtherMEDICAID GROUP #
SCD99102Medicare UPIN