Huntley, Mark

Huntley, Mark is an individual health care provider with primary practice located at 1700 Skylyn Drive Spartanburg Emergency Physicians, Llc, Spartangburg SC 29307-1041. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Huntley, Mark can be contacted via phone (770) 874-6803.

Contact Information

Primary practice address
1700 Skylyn Drive Spartanburg Emergency Physicians, Llc Spartangburg SC 29307-1041
Phone: (770) 874-6803
Fax: (770) 874-6833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 16177 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 16177 South Carolina

Profile Details

NPI number 1760453211
LBN Legal business name Huntley, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jan 18th, 2012 - about 13 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 1760453211 NPPES
North Carolina MEDICAID 89063KU
North Carolina MEDICAID 161773

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