Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1208 | SC |
N | 111NN0400X | Neurology | 1208 | SC |
NPI | 1659371912 |
---|---|
Provider Name | Dr. Mark A Huminski |
First Address | Spartanburg, SC 29301-3762 |
Second Address | Spartanburg, SC 29301-3762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 24/08/2010 |