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NPI Code Detail

MEDICARE: CHARLES BOYETTE HUNTER M.D.

MEDICARE: CHARLES BOYETTE HUNTER M.D.
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
1208000000XPediatrics Physician7437AL

General Provider Information

NPI Number : 1174522395
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES BOYETTE HUNTER M.D.
Provider Business Mailing Address
First Line : 3920 AIRPORT BLVD
Second Line :
City : MOBILE
State : AL
Zip : 36608-2207
Country : US
Telephone Number : 251-342-3810
Fax Number : 251-344-6752
Provider Business Practice Location Address
First Line : 3920 AIRPORT BLVD
Second Line :
City : MOBILE
State : AL
Zip : 36608-2207
Country : US
Telephone Number : 251-342-3810
Fax Number : 251-344-6752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 07/08/2007

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Directions to “ CHARLES BOYETTE HUNTER M.D.” Practice Location

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