Huneycutt, Tamatha M

Huneycutt, Tamatha M is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-8908. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Huneycutt, Tamatha M can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-8908
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 17791 South Carolina

Profile Details

NPI number 1114292521
LBN Legal business name Huneycutt, Tamatha M
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2012
Last updated Feb 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114292521 NPPES
South Carolina MEDICAID NP2036

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