Individual
DR. IAN J HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34OOA
WY
207R00000X
Internal Medicine Physician
7663A
WY
208M00000X
Hospitalist Physician
Primary
93945
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124201600
—
WY
01
—
315033
WY BLUE SHIELD
WY
01
—
7663A
STATE LICENSE #
WY
01
—
830261354
CHAMPUS
WY
Enumeration date
07/13/2006
Last updated
08/01/2023
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