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NPI Code Detail

MEDICARE: LEON ERVIN HUNT M.D.

MEDICARE: LEON ERVIN HUNT 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
1207Q00000XFamily Medicine PhysicianLL30123SC
2207Q00000XFamily Medicine Physician65465GA

General Provider Information

NPI Number : 1609075746
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEON ERVIN HUNT M.D.
Provider Business Mailing Address
First Line : 3209 COLONIAL DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-6930
Country : US
Telephone Number : 803-434-6116
Fax Number : 803-434-7529
Provider Business Practice Location Address
First Line : 3209 COLONIAL DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-6930
Country : US
Telephone Number : 803-434-6116
Fax Number : 803-434-7529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2007
Last Update Date : 02/24/2026

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