Individual
DEMETRICE LASHAY HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT/LMP
Contact information
Practice address
152 NEW ST STE 101C, MACON, GA 31201-7356
(478) 216-9110
(478) 219-7485
Mailing address
152 NEW ST STE 101C, MACON, GA 31201-7356
(478) 216-9110
(478) 219-7485
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT003571
GA
Other
Enumeration date
09/23/2015
Last updated
04/14/2025
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