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Individual

ZACK HUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDMT

Contact information

Practice address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1062
(229) 257-5281
Mailing address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648-1062

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
04/11/2017
Last updated
07/31/2023
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