Most Relevant Information
Provider Data
| NPI Number: | 1003657701 |
| Provider Name: | TATUM ALYSSA HUBBARD |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/05/2024 |
| Last Updated: | 06/05/2024 |
Provider Practice Location
1 UNIVERSITY PKWY
HIGH POINT
NC
272680002
Practice Location Phone/Fax
| Phone: | 3368419000 |
| Fax: |
Provider Mailing Location
1 UNIVERSITY PKWY
HIGH POINT
NC
272680002
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |