MEDICARE: SONYA HUNTER

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
1	104100000X	Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1275082604	OTHER	SC	NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	EX 1511	OTHER	SC	SC PROVIDER ID

General Provider Information

NPI Number	:	1275082604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONYA HUNTER

Provider Business Mailing Address
First Line	:	1717 GERVAIS ST
Second Line	:	SUITE102
City	:	COLUMBIA
State	:	SC
Zip	:	29201-3415
Country	:	US
Telephone Number	:	803-828-4020
Fax Number	:	803-828-4020

Provider Business Practice Location Address
First Line	:	1717 GERVAIS ST
Second Line	:	SUITE102
City	:	COLUMBIA
State	:	SC
Zip	:	29201-3415
Country	:	US
Telephone Number	:	803-828-4020
Fax Number	:	803-828-4020

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2016
Last Update Date	:	01/03/2017

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Directions to “ SONYA HUNTER ” Practice Location

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