Provider Demographics
NPI:1780606780
Name:HUNT, LAURA ALLISON (MD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ALLISON
Last Name:HUNT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ALLISON
Other - Last Name:FOSTER-HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:P.O. BOX 25039
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29616-0339
Mailing Address - Country:US
Mailing Address - Phone:864-306-9661
Mailing Address - Fax:864-306-8560
Practice Address - Street 1:700 BRUSHY CREEK RD
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29642
Practice Address - Country:US
Practice Address - Phone:864-306-9661
Practice Address - Fax:864-206-8560
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC188576207Q00000X
SC18857207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC188576Medicaid
SCGP5271Medicaid
SCGP5271Medicaid
SC8157Medicare UPIN