Provider Demographics
NPI:1700830437
Name:HUFF, JANICE E (MD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:E
Last Name:HUFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4243 COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-0203
Mailing Address - Country:US
Mailing Address - Phone:704-641-3157
Mailing Address - Fax:704-846-6797
Practice Address - Street 1:4243 COUNTRY LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28270-0203
Practice Address - Country:US
Practice Address - Phone:704-641-3157
Practice Address - Fax:704-846-6797
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31998207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNC 2145COtherNC MEDICARE
NC8944372Medicaid
NC207420MMedicare ID - Type Unspecified
NC8944372Medicaid