Healthcare Provider Details

I. General information

NPI: 1881054781
Provider Name (Legal Business Name): HUNTER MEDICAL SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2016
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 THOMAS JOHNSON CT STE C
FREDERICK MD
21702-4348
US

IV. Provider business mailing address

86 THOMAS JOHNSON CT STE C
FREDERICK MD
21702-4348
US

V. Phone/Fax

Practice location:
  • Phone: 301-694-8311
  • Fax: 240-668-9827
Mailing address:
  • Phone: 301-694-8311
  • Fax: 240-668-9827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES P GEORGE
Title or Position: OWNER
Credential:
Phone: 240-575-9283