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Individual

DR. RONALD W HUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1526 BRIDGEWATER LN, KINGSPORT, TN 37660-4106
(423) 245-0034
Mailing address
1526 BRIDGEWATER LN, KINGSPORT, TN 37660-4106
(234) 245-0034

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11895
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010039100
VA
01
100758
BLUE CROSS BLUE SHIELD
VA
01
3173519
MEDICARE PTAN
TN
01
3345193
AETNA
TN
05
3372564
TN
01
4067146
BLUE CROSS BLUE SHIELD
TN
01
602003606
CARITEN
TN
01
P00108427
RAILROAD MEDICARE
TN
05
Q010242
TN
01
TN0103
JOHN DEERE
TN
Enumeration date
06/13/2005
Last updated
07/29/2022
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