Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 29123 | NC |
NPI | 1154339034 |
---|---|
Provider Name | Dr. Robert Merrill Hunter |
First Address | Raleigh, NC 27610 |
Second Address | Raleigh, NC 27610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 16/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8945084 | (05) | NC |
C84649 | (02) |