MEDICARE: DR. LINDA G HUNTER DC

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	111N00000X	Chiropractor	DC000790	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5838339	OTHER	TN	AETNA

General Provider Information

NPI Number	:	1326049768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA G HUNTER DC

Provider Business Mailing Address
First Line	:	1190 N KENTUCKY ST
Second Line	:	PO BOX 864
City	:	KINGSTON
State	:	TN
Zip	:	37763-2350
Country	:	US
Telephone Number	:	865-376-4684
Fax Number	:	865-376-4605

Provider Business Practice Location Address
First Line	:	1190 N KENTUCKY ST
Second Line	:
City	:	KINGSTON
State	:	TN
Zip	:	37763-2350
Country	:	US
Telephone Number	:	865-376-4684
Fax Number	:	865-376-4605

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/08/2007

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