Provider Demographics
NPI:1144567041
Name:EDWARDS HUNTER, JENNIFER LYNN
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LYNN
Last Name:EDWARDS HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 BRASELTON ST
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:SC
Mailing Address - Zip Code:29334-8734
Mailing Address - Country:US
Mailing Address - Phone:678-787-5672
Mailing Address - Fax:
Practice Address - Street 1:2637 GENTRY MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:PICKENS
Practice Address - State:SC
Practice Address - Zip Code:29671-9429
Practice Address - Country:US
Practice Address - Phone:864-644-9023
Practice Address - Fax:864-644-9024
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH024969183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist