Provider Demographics
NPI:1356512784
Name:HUBBARD, MARGARET ANNA (RDMS)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANNA
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:MISS
Other - First Name:MARGARET
Other - Middle Name:ANNA
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:617 CONTINENTAL DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27712-2492
Mailing Address - Country:US
Mailing Address - Phone:919-767-2842
Mailing Address - Fax:
Practice Address - Street 1:617 CONTINENTAL DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27712-2492
Practice Address - Country:US
Practice Address - Phone:919-767-2842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY125062471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography