Provider Demographics
NPI:1154433613
Name:FORD, HUBERT JAMES III (MD)
Entity type:Individual
Prefix:DR
First Name:HUBERT
Middle Name:JAMES
Last Name:FORD
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:130 MASON FARM RD
Mailing Address - Street 2:CB 7020
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599
Mailing Address - Country:US
Mailing Address - Phone:919-966-2531
Mailing Address - Fax:919-966-7013
Practice Address - Street 1:130 MASON FARM RD
Practice Address - Street 2:CB 7020
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599
Practice Address - Country:US
Practice Address - Phone:919-966-2531
Practice Address - Fax:919-966-7013
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-05-19
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Provider Licenses
StateLicense IDTaxonomies
NC2004-01391207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I39751Medicare UPIN