Provider Demographics
NPI:1780655316
Name:HUNTER, CAROLYN L (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:L
Last Name:HUNTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CAROLYN
Other - Middle Name:LEIGH
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:4965 CENTRE POINTE DR
Mailing Address - Street 2:STE 100
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-6945
Mailing Address - Country:US
Mailing Address - Phone:843-569-2225
Mailing Address - Fax:843-863-1830
Practice Address - Street 1:2409 MALL DR
Practice Address - Street 2:STE C
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-6506
Practice Address - Country:US
Practice Address - Phone:843-410-7201
Practice Address - Fax:843-863-1830
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2017-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2991111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCD992OtherMEDICARE PTAN HEALTH EDGE
SCCH2991Medicaid
V09955Medicare UPIN
AA14658537Medicare PIN
SCV09955Medicare UPIN
SCD992OtherMEDICARE PTAN HEALTH EDGE