Healthcare Provider Details

I. General information

NPI: 1033520184
Provider Name (Legal Business Name): EMILY HUNTER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 05/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MCDANIEL AVE
PICKENS SC
29671-2527
US

IV. Provider business mailing address

200 MCDANIEL AVE
PICKENS SC
29671-2527
US

V. Phone/Fax

Practice location:
  • Phone: 864-898-5839
  • Fax: 864-898-5610
Mailing address:
  • Phone: 864-898-5839
  • Fax: 864-898-5610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number22222
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: