Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 17000 | SC |
NPI | 1437116548 |
---|---|
Provider Name | Dr. James Elmo Hunter IV |
First Address | Atlanta, GA 30374-3070 |
Second Address | Spartanburg, SC 29303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 16/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
17004 | (05) | SC |
E93677 | (02) | SC |
P01134727 | RAILROAD MEDICARE (01) | SC |