Doctor Name: | DR. SAMMY HONEYCUTT |
NPI Number: | 1518125483 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M. D. |
License Number: | 20810 |
Business Practice Address: | 1615 Elkhart Cir Gastonia, NC - 280547761 |
Business Phone Number: | 7048641290 |
Business Fax Number: | |
Mailing Address: | 1615 Elkhart Cir, GASTONIA |
State: | NC |
Postal Code: | 280547761 |
Phone Number: | 7048641290 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2008 |
NPI Last Update Date: | 05/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20810 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |