=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992233704
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RYAN T HUNLEY DO
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/24/2017
-----------------------------------------------------
Last Update Date | 08/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 435 SEWELL DR
-----------------------------------------------------
City | SPARTA
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38583-1200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 931-738-4595
-----------------------------------------------------
Fax | 931-837-4596
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 300 20TH AVE N STE 403
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37203-5180
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 008331
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 390200000X
-----------------------------------------------------
Taxonomy Name | Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 3687
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------