Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD.36920 | AL |
N | 2080A0000X | Adolescent Medicine | MD.36920 | AL |
Y | 2080A0000X | Adolescent Medicine | MD38518 | SC |
NPI | 1144502006 |
---|---|
Provider Name | Hannah Marion Hulsey |
First Address | Columbia, SC 29210-3825 |
Second Address | Columbia, SC 29203-4156 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2011 |
Last Update Date | 16/06/2021 |