Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 689 | NC |
N | 213ES0103X | Foot & Ankle Surgery | 689 | NC |
N | 213ES0131X | Foot Surgery | 689 | NC |
NPI | 1124475017 |
---|---|
Provider Name | Dr. Jeffrey Lynn Hunter |
First Address | Mount Airy, NC 27030-4010 |
Second Address | Mount Airy, NC 27030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2016 |
Last Update Date | 18/02/2021 |