Provider Demographics
NPI:1598037681
Name:HUNEYCUTT, ANNA PEPPER (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:PEPPER
Last Name:HUNEYCUTT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:FAISON
Other - Last Name:PEPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:600 HOSPITAL DR
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-6000
Mailing Address - Country:US
Mailing Address - Phone:980-993-3396
Mailing Address - Fax:704-283-3499
Practice Address - Street 1:600 HOSPITAL DR
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-6000
Practice Address - Country:US
Practice Address - Phone:980-993-3396
Practice Address - Fax:704-283-3499
Is Sole Proprietor?:No
Enumeration Date:2012-02-03
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
NC001003367363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical