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NPI Code Detail

MEDICARE: MRS. KWANITA LYNETTE HUNT-SCOTT PA-C

MEDICARE:  MRS. KWANITA LYNETTE HUNT-SCOTT  PA-C
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
1363AM0700XMedical Physician AssistantA801SC
2207Q00000XFamily Medicine Physician001008908NC
3363AM0700XMedical Physician Assistant801SC
4363A00000XPhysician Assistant001008908NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A801OTHERSCPA LICENSE

General Provider Information

NPI Number : 1417907841
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KWANITA LYNETTE HUNT-SCOTT PA-C
Provider Business Mailing Address
First Line : 1504 MAGNOLIA DR
Second Line :
City : LANCASTER
State : SC
Zip : 29720-1692
Country : US
Telephone Number : 803-368-1032
Fax Number :
Provider Business Practice Location Address
First Line : 455 LAKESHORE PKWY
Second Line :
City : ROCK HILL
State : SC
Zip : 29730-4205
Country : US
Telephone Number : 803-909-6363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 03/30/2026

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Directions to “ MRS. KWANITA LYNETTE HUNT-SCOTT PA-C” Practice Location

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