Provider Demographics
NPI:1942264833
Name:HAMBRIGHT, WESLEY F (MD)
Entity Type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:F
Last Name:HAMBRIGHT
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 1:291 HUFF DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-7370
Mailing Address - Country:US
Mailing Address - Phone:910-577-4255
Mailing Address - Fax:910-577-0073
Practice Address - Street 1:291 HUFF DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-7370
Practice Address - Country:US
Practice Address - Phone:910-577-4255
Practice Address - Fax:910-577-0073
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30358174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890269RMedicaid
NC215812BMedicare ID - Type Unspecified
NC890269RMedicaid