Individual
CLARENCE J. HUNTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 NORMAN DORMINY DR, SUITE A, FITZGERALD, GA 31750-8855
(229) 423-5437
(229) 424-0868
Mailing address
119 NORMAN DORMINY DR STE A, FITZGERALD, GA 31750-8855
(229) 423-5437
(229) 424-0868
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26873
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000305313F
—
GA
05
—
000305313N
—
GA
Enumeration date
07/27/2006
Last updated
06/24/2013
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