Provider Demographics
NPI:1851364335
Name:ALLGOOD, DAVID HUSTON (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HUSTON
Last Name:ALLGOOD
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2145 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-2403
Mailing Address - Country:US
Mailing Address - Phone:910-478-4000
Mailing Address - Fax:910-478-4004
Practice Address - Street 1:2145 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-2403
Practice Address - Country:US
Practice Address - Phone:910-478-4000
Practice Address - Fax:910-478-4004
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2020-12-29
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant