MEDICARE: BOBBIE LYNN HUNTER FNP-BC

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	363LF0000X	Family Nurse Practitioner	RN061085	GA

General Provider Information

NPI Number	:	1427286269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOBBIE LYNN HUNTER FNP-BC

Provider Business Mailing Address
First Line	:	2320 HAMILTON RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-8534
Country	:	US
Telephone Number	:	706-507-5441
Fax Number	:	706-507-5460

Provider Business Practice Location Address
First Line	:	2320 HAMILTON RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-8534
Country	:	US
Telephone Number	:	706-507-5441
Fax Number	:	706-507-5460

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

Provider Enumeration Date	:	07/01/2009
Last Update Date	:	01/28/2012

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