Individual
ADDIE STARK HUNNICUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 PATEWOOD DR, STE A350, GREENVILLE, SC 29615-3593
(864) 454-5110
(864) 241-9206
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
23835
SC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
23835
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238353
—
SC
Enumeration date
06/08/2007
Last updated
02/28/2018
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