Provider Demographics
NPI:1710443197
Name:DUNBAR, MARIA LINETTE
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:LINETTE
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 BARNWELL AVE NW STE C
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-3903
Mailing Address - Country:US
Mailing Address - Phone:803-671-8125
Mailing Address - Fax:
Practice Address - Street 1:231 BARNWELL AVE NW STE C
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-3903
Practice Address - Country:US
Practice Address - Phone:803-617-8125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty