Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207NS0135X | Procedural Dermatology | 1236000418 | VA |
Y | 207NS0135X | Procedural Dermatology | 1238000061 | VA |
NPI | 1225343262 |
---|---|
Provider Name | Ms. Mary Francis Hunter |
First Address | Charlottesville, VA 22902-5193 |
Second Address | Charlottesville, VA 22902-5193 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2010 |
Last Update Date | 14/08/2010 |