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Individual

GARY W HUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2855 OLD HIGHWAY 5, STE 104, BLUE RIDGE, GA 30513-6239
(706) 258-4868
(706) 258-1165
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7000
(615) 309-3338

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23837
TN
207Q00000X
Family Medicine Physician
Primary
33359
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00486098D
GA
01
071095
BCBS
GA
01
3003042
TENNCARE SELECT
TN
05
3883955
TN
01
456399
WELLCARE
GA
05
890640R
NC
01
GA0101
AMERICHOICE EAST TENNCARE
GA
Enumeration date
06/02/2005
Last updated
09/10/2009
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