Provider Demographics
NPI:1881683399
Name:HUFFMAN, ALLEN W JR (MD)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:W
Last Name:HUFFMAN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 21000
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-0210
Mailing Address - Country:US
Mailing Address - Phone:828-328-2901
Mailing Address - Fax:828-327-6223
Practice Address - Street 1:1205 N CENTER ST
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3759
Practice Address - Country:US
Practice Address - Phone:828-328-2901
Practice Address - Fax:828-327-6223
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
NC15499207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89444101Medicaid
NCAH6746676OtherDEA
NC89444101Medicaid