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Contact Information

DAVID J HUDDLESTON, MD
1638 OWEN DR
FAYETTEVILLE, NC28304
 Phone: 615-221-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for DAVID J HUDDLESTON · (Male)

NPI # 1033170998
Status Active
Credentials MD
Entity Individual
Enumeration date 03/30/2006
Last updated 08/05/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036092804
  • NC License # 2019-0237
  • IL Medicaid 0360928042
  • IL Other 220026797 RR MCR
Hospital affiliation(s)
  • BETSY JOHNSON REGIONAL HOSPITAL - (Acute Care)
    800 TILGHMAN DR
    DUNN, NC 28334
  • CAPE FEAR VALLEY MEDICAL CENTER - (Acute Care)
    1638 OWEN DRIVE P O BOX 2000
    FAYETTEVILLE, NC 28302
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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