Organization
SAMUEL B. HUNTER, M.D. P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL BOYKIN HUNTER M.D. (PRESIDENT)
(804) 225-1775
Entity
Organization
Contact information
Practice address
1500 N 28TH ST, RICHMOND, VA 23223-5332
(804) 225-1775
(804) 225-1788
Mailing address
1500 N 28TH ST, RICHMOND, VA 23223-5332
(804) 225-1775
(804) 225-1788
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101023927
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007403
ATHEM BCBS
VA
05
—
6655238
—
VA
Enumeration date
11/30/2006
Last updated
09/24/2007
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