MEDICARE: DR. SAMUEL HUNTER M.D.,PH. 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
1	207R00000X	Internal Medicine Physician	050382	GA

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	:	1588686323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMUEL HUNTER M.D.,PH. D

Provider Business Mailing Address
First Line	:	PO BOX 132
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31902-0132
Country	:	US
Telephone Number	:	706-324-6474
Fax Number	:	706-682-4982

Provider Business Practice Location Address
First Line	:	3360 BUENA VISTA RD
Second Line	:	SUITE #8
City	:	COLUMBUS
State	:	GA
Zip	:	31906-4265
Country	:	US
Telephone Number	:	706-324-6474
Fax Number	:	706-682-4981

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	04/28/2011

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