Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 1135 | SC |
Y | 152W00000X | Optometrist | 1783 | NC |
NPI | 1003906140 |
---|---|
Provider Name | Dr. William R Hundley |
First Address | Charlotte, NC 28210-2929 |
Second Address | Rock Hill, SC 29732 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 25/03/2021 |