David A Hurley, RT(R)
Individual provider Active NPI Radiography Radiologic Technologist · Pembroke, NC
NPI 1326296294 · NPPES record last updated Oct 13, 2010
Key facts
- NPI
- 1326296294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiography Radiologic Technologist 2471C3402X
- License
- 406071 (NC)
- Practice address
- 812 Candy Park Rd
Suite 7101-C
Pembroke, NC 28372-9129 - Phone
- (910) 522-0470
- NPI assigned
- Sep 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 406071 | NC | MD | Radiography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Coast Imaging, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | |||
| Radiography Radiologic Technologist | 2471C3402X | 406071 | NC | Yes |
Addresses
Primary practice location
812 Candy Park Rd
Suite 7101-C
Pembroke, NC 28372-9129
Mailing address
4443 Waccamaw Shores Rd
Lake Waccamaw, NC 28450-2401
Phone (910) 522-0470
Other providers in Pembroke, NC
- Ketisa Hunt
- Kiley Hunt
- Ramanda Ann Hunt
- Scot A Hunt
- Stephanie Hunt
- Infinity & Passion Home Healthcare Inc
- Innovative Cognitive Services, Inc.
- Integrated Pain & Injury Center, PLLC
- J & S Care Inc.
- J & S Care Inc.
All providers in Pembroke, NC · Radiography Radiologic Technologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.