Individual
TAMATHA M HUNEYCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
17791
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2036
—
SC
Enumeration date
03/19/2012
Last updated
02/23/2021
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