Individual
LESLIE HUNNICUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR STE 200, COLUMBIA, SC 29203-8008
(803) 434-3800
(803) 376-5885
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
275435
SC
363L00000X
Nurse Practitioner
31386
SC
363LF0000X
Family Nurse Practitioner
Primary
31386
SC
Other
Enumeration date
11/03/2025
Last updated
03/26/2026
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