MEDICARE: HUNTER FIRST ASSISTANTS

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
1	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1194162388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUNTER FIRST ASSISTANTS

Provider Business Mailing Address
First Line	:	9600 SPRING GLEN DR
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-8829
Country	:	US
Telephone Number	:	804-306-5514
Fax Number	:	804-275-7574

Provider Business Practice Location Address
First Line	:	9600 SPRING GLEN DR
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-8829
Country	:	US
Telephone Number	:	804-306-5514
Fax Number	:	804-275-7574

Authorized Official
Title or Position	:	CSA
Name	:	MR. MARK DOUGLAS HUNTER
Credential	:
Telephone Number	:	804-306-5514

Provider Enumeration Date	:	05/28/2013
Last Update Date	:	05/28/2013

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Directions to “HUNTER FIRST ASSISTANTS ” Practice Location

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