Debera L Huderly is a Specialist in Clyde, North Carolina. Debera L Huderly practices all healthcare services and medical treatments related to Specialist. The NPI Number for Debera L Huderly is 1073510863. The last update date is 2023-03-07.
Debera L Huderly's current location address is 262 Leroy George Dr, Clyde, North Carolina. You can contact this provider via phone number 8284528346. The mailing address for Debera L Huderly is 262 Leroy George Dr, Clyde, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debera L Huderly |
|---|---|
| Address | 262 Leroy George Dr, Clyde, North Carolina |
| Phone Number | 8284528346 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1073510863 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 262 Leroy George Dr |
|---|---|
| City | Clyde |
| State | North Carolina (NC) |
| Post Code | 2872174300 |
| Phone Number | 8284528346 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 9700988 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8910750 | NC | -- |
Post Comment/ Review Below
What is the Debera L Huderly's 1073510863?
The Debera L Huderly's NPI (National Provider Identifier) Number is 1073510863. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Debera L Huderly's facilities are geographically located?
The facilities of Debera L Huderly are physically situated at the following location: 262 Leroy George Dr, Clyde, NC, 2872174300.
What is the Debera L Huderly's area of specialization and corresponding taxonomy classification?
The Debera L Huderly's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Debera L Huderly receive the assignment of its 1073510863 from the Centers for Medicare & Medicaid Services?
The Debera L Huderly was issued its 1073510863 by the Centers for Medicare & Medicaid Services on 2005-07-07.
When was the information pertaining to Debera L Huderly most recently updated or revised?
The details related to Debera L Huderly, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.