Provider Demographics
NPI:1447316625
Name:HURT, JOE P (MD,PHD)
Entity type:Individual
Prefix:
First Name:JOE
Middle Name:P
Last Name:HURT
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 MONTEITH BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-7749
Mailing Address - Country:US
Mailing Address - Phone:828-586-5724
Mailing Address - Fax:828-586-7982
Practice Address - Street 1:969 MONTEITH BRANCH RD
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-7749
Practice Address - Country:US
Practice Address - Phone:828-586-5724
Practice Address - Fax:828-586-7982
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14691207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC84650Medicare UPIN