MEDICARE: JOSEPH SAMUEL HUNTER MD

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	207Q00000X	Family Medicine Physician	16761	MS

General Provider Information

NPI Number	:	1467459149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH SAMUEL HUNTER MD

Provider Business Mailing Address
First Line	:	PO BOX 746085
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6085
Country	:	US
Telephone Number	:	312-733-9730
Fax Number	:	773-866-8014

Provider Business Practice Location Address
First Line	:	911 ELLIS AVE
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39209-6256
Country	:	US
Telephone Number	:	601-533-7016
Fax Number	:	769-333-9150

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	09/04/2024

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