MEDICARE: DR. TERI LEA 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	37587	TN

General Provider Information

NPI Number	:	1912941857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERI LEA HUNTER MD

Provider Business Mailing Address
First Line	:	1018 ORCHID DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37912-5474
Country	:	US
Telephone Number	:	865-357-9355
Fax Number	:	865-357-9350

Provider Business Practice Location Address
First Line	:	1018 ORCHID DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37912-5416
Country	:	US
Telephone Number	:	865-357-9355
Fax Number	:	865-357-9350

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	09/07/2012

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