MEDICARE: DR. JOHN DANE HUNTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	22207	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073518379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN DANE HUNTER MD

Provider Business Mailing Address
First Line	:	3 BUTTERNUT DR
Second Line	:	STE B
City	:	GREENVILLE
State	:	SC
Zip	:	29605-4653
Country	:	US
Telephone Number	:	864-298-2826
Fax Number	:	864-672-7764

Provider Business Practice Location Address
First Line	:	131 LILA DOYLE DR
Second Line	:
City	:	SENECA
State	:	SC
Zip	:	29672-9495
Country	:	US
Telephone Number	:	864-888-3717
Fax Number	:	864-888-8486

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	10/10/2007

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