MEDICARE: MS. CAROLYN WHITE HUNTER MSW

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	1041C0700X	Clinical Social Worker	0959C	AL

General Provider Information

NPI Number	:	1982660353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROLYN WHITE HUNTER MSW

Provider Business Mailing Address
First Line	:	1305 WHITE RD
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-3431
Country	:	US
Telephone Number	:	706-626-2768
Fax Number	:	170-662-6269

Provider Business Practice Location Address
First Line	:	6540 WAY AVE
Second Line	:	BATTLEMIND CENTER BLDG. 2822
City	:	FORT BENNING
State	:	GA
Zip	:	31905-3799
Country	:	US
Telephone Number	:	706-626-2617
Fax Number	:	170-662-6269

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

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	11/24/2008

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