Physician Compare National (NPI:1902997745)

HEALTHCARE PROVIDER: COREY D HUNT MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1902997745
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5294802815
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080924000331
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUNT
	Individual professional last name
Provider First Name	COREY
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2605 KINARD ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 208
	Group Practice or individual's line 2 address
City	NEWBERRY
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	291082966
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	420053
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NEWBERRY COUNTY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y