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NPI Code Detail

MEDICARE: SUNJAY RYAN NUNLEY MD

MEDICARE: SUNJAY RYAN NUNLEY MD
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
12084N0402XNeurology with Special Qualifications in Child Neurology Physician35120510OH
22084N0402XNeurology with Special Qualifications in Child Neurology Physician40817SC
32084N0402XNeurology with Special Qualifications in Child Neurology PhysicianMD-55861IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427357219
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNJAY RYAN NUNLEY MD
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 900 W FARIS RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4255
Country : US
Telephone Number : 864-455-8898
Fax Number : 864-241-9237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2011
Last Update Date : 12/08/2025

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Directions to “ SUNJAY RYAN NUNLEY MD” Practice Location

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