Individual
JEANEA R HUNDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-5190
Mailing address
612 MOCKSVILLE AVENUE, SALISBURY, NC 28144
(704) 210-5190
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200001190297
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891187K
—
NC
Enumeration date
03/14/2006
Last updated
10/21/2014
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