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NPI Code Detail

MEDICARE: JERRY A HUNTER M.D.

MEDICARE: JERRY A HUNTER 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
1207R00000XInternal Medicine PhysicianD0044782MD

General Provider Information

NPI Number : 1134185762
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERRY A HUNTER M.D.
Provider Business Mailing Address
First Line : PO BOX 759047
Second Line :
City : BALTIMORE
State : MD
Zip : 21275-9047
Country : US
Telephone Number : 804-822-4355
Fax Number :
Provider Business Practice Location Address
First Line : 3357B CORRIDOR MARKETPLACE
Second Line :
City : LAUREL
State : MD
Zip : 20724-2381
Country : US
Telephone Number : 301-497-5489
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2006
Last Update Date : 11/06/2007

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