Provider Demographics
NPI:1659343887
Name:HOWELL, HAMPTON A (MD)
Entity Type:Individual
Prefix:
First Name:HAMPTON
Middle Name:A
Last Name:HOWELL
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 1:1345 WESTGATE CENTER DR STE A
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3041
Mailing Address - Country:US
Mailing Address - Phone:336-768-8483
Mailing Address - Fax:336-768-1195
Practice Address - Street 1:1345 WESTGATE CENTER DR STE A
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3041
Practice Address - Country:US
Practice Address - Phone:336-768-8483
Practice Address - Fax:336-768-1195
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2086S0122X208200000X
NC2006-00438208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2325790OtherMEDICARE GROUP
NC1588621213OtherGROUP NPI
I32622Medicare UPIN
NC1588621213OtherGROUP NPI
NY1905F1Medicare ID - Type Unspecified