Provider Demographics
NPI:1255335022
Name:WASHBURN, HARRILL GENE JR (MD)
Entity type:Individual
Prefix:DR
First Name:HARRILL
Middle Name:GENE
Last Name:WASHBURN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:144 RESERVATION DR
Mailing Address - Street 2:
Mailing Address - City:SPINDALE
Mailing Address - State:NC
Mailing Address - Zip Code:28160-1566
Mailing Address - Country:US
Mailing Address - Phone:828-287-0200
Mailing Address - Fax:828-287-8755
Practice Address - Street 1:144 RESERVATION DR
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-1566
Practice Address - Country:US
Practice Address - Phone:828-287-0200
Practice Address - Fax:828-287-8755
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9700800207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2238032OtherMEDICARE PTAN
NC8910836Medicaid
NC8910836Medicaid
NC8910836Medicaid