Individual
MR. MARK HUNTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 SKYLYN DRIVE, SPARTANBURG EMERGENCY PHYSICIANS, LLC, SPARTANGBURG, SC 29307-1041
(770) 874-6803
(770) 874-6833
Mailing address
5665 NEW NORTHSIDE DR, SUITE 320 SPARTANBURG EMERGENCY PHYSICIANS, LLC, ATLANTA, GA 30384-1431
(770) 847-6803
(770) 847-6833
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16177
SC
208D00000X
General Practice Physician
16177
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161773
—
SC
05
—
89063KU
—
NC
Enumeration date
01/31/2006
Last updated
01/18/2012
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