Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OS 10644 | FL |
N | 111NI0900X | Internist | OS 10644 | FL |
N | 207R00000X | Internist | TRNUO1698 | FL |
N | 111NI0900X | Internist | TRNUO1698 | FL |
Y | 207RR0500X | Rheumatology | 67131 | GA |
NPI | 1083811442 |
---|---|
Provider Name | Dr. James Monroe Hunt |
First Address | Thomasville, GA 31792-5404 |
Second Address | Thomasville, GA 31792-5404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 17/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
67131 | GA LICENSE (01) | GA |