Individual
COURTNEY SANDIFER HUTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
228 E MAIN STREET, BARNWELL, SC 29812-1529
(803) 709-7778
(803) 709-7781
Mailing address
228 E MAIN STREET, 228 E MAIN STREET, BARNWELL, SC 29812-1529
(803) 709-7778
(803) 709-7781
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17697
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17697
MEDICAL LICENSE
SC
01
—
AA8400
MEDICARE
SC
05
—
NP2018
—
SC
Enumeration date
01/03/2012
Last updated
02/13/2025
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