Healthcare Provider Details
I. General information
NPI: 1700867736
Provider Name (Legal Business Name): JAMES H HUNTER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/08/2005
Last Update Date: 12/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
610 PROVIDENCE PARK DR SUITE 104
MOBILE AL
36608
US
IV. Provider business mailing address
PO BOX 7627
MOBILE AL
36670-0627
US
V. Phone/Fax
- Phone: 251-639-2876
- Fax: 251-639-2999
- Phone: 251-633-7211
- Fax: 251-410-6079
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | 16257 |
| License Number State | AL |
VIII. Authorized Official
Name: DR.
JAMES
HAROLD
HUNTER
Title or Position: OWNER
Credential: MD
Phone: 251-639-2876