Doctor Name: | DR. JOHN B HUNT |
NPI Number: | 1114038114 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 017828 |
Business Practice Address: | 2704 N Oak St Building A-2 Valdosta, GA - 316021744 |
Business Phone Number: | 2293330003 |
Business Fax Number: | 2293330087 |
Mailing Address: | Po Box 3877, VALDOSTA |
State: | GA |
Postal Code: | 316043877 |
Phone Number: | 2293330003 |
Fax Number: | 2293330087 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 08/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 017828 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |