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Individual

DR. BOUASY L HUNEYCUTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
515 KEISLER DR STE 102, CARY, NC 27518-7097
(984) 200-9001
(984) 200-5352
Mailing address
515 KEISLER DR STE 102, CARY, NC 27518-7097
(984) 200-9001
(984) 200-5352

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007-01666
NC
208000000X
Pediatrics Physician
2007-01666
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2643910-00
FL
05
5908306
NC
Enumeration date
08/31/2006
Last updated
01/22/2025
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