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NPI Code Detail

MEDICARE: MARY ANN NUNNERY

MEDICARE: MARY ANN NUNNERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist

General Provider Information

NPI Number : 1063880318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ANN NUNNERY
Provider Business Mailing Address
First Line : 2500 WINCHESTER PL STE 103
Second Line :
City : SPARTANBURG
State : SC
Zip : 29301-1550
Country : US
Telephone Number : 864-576-7004
Fax Number :
Provider Business Practice Location Address
First Line : 2500 WINCHESTER PL STE 103
Second Line :
City : SPARTANBURG
State : SC
Zip : 29301-1550
Country : US
Telephone Number : 864-576-7004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2015
Last Update Date : 09/03/2015

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Directions to “ MARY ANN NUNNERY ” Practice Location

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