Hundley, Jeanea R

Hundley, Jeanea R is an individual health care provider with primary practice located at 612 Mocksville Ave , Salisbury NC 28144-2732. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Hundley, Jeanea R can be contacted via phone (704) 210-5190.

Contact Information

Primary practice address
612 Mocksville Ave Salisbury NC 28144-2732
Phone: (704) 210-5190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 200001190297 North Carolina

Profile Details

NPI number 1295704351
LBN Legal business name Hundley, Jeanea R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 21st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295704351 NPPES
North Carolina MEDICAID 891187K

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