Individual
MELINDA WAITT HUNNICUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2325 18TH ST, SUITE 130, COLUMBUS, IN 47201-5387
(812) 379-2020
(812) 378-8267
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01041284A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000984929
ANTHEM PIN
IN
01
—
011274P
SIHO
IN
05
—
100343040
—
IN
01
—
64879596
KENTUCKY MEDICAID
KY
01
—
P01632091
MEDICARE RAIL ROAD
IN
Enumeration date
11/24/2006
Last updated
09/06/2024
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