Hunnicutt, Addie Stark

Hunnicutt, Addie Stark is an individual health care provider with primary practice located at 200 Patewood Dr Ste A350, Greenville SC 29615-3593. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Hunnicutt, Addie Stark can be contacted via phone (864) 454-5110.

Contact Information

Primary practice address
200 Patewood Dr Ste A350 Greenville SC 29615-3593
Phone: (864) 454-5110
Fax: (864) 241-9206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 23835 South Carolina
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 23835 South Carolina

Profile Details

NPI number 1588867345
LBN Legal business name Hunnicutt, Addie Stark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Feb 28th, 2018 - about 8 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 1588867345 NPPES
South Carolina MEDICAID 238353

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