Individual
BROOKE ALEXANDRA HUNGERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-1576
(864) 560-1590
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4593
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SCO5033365
MEDICARE PIN
SC
Enumeration date
09/28/2022
Last updated
04/30/2024
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