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Individual

CHARLES D HUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1041 NOELL LN, SUITE 105, ROCKY MOUNT, NC 27804-2058
(252) 451-2700
(252) 451-2702
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103520
NC
363AM0700X
Medical Physician Assistant
103520
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7912661
AETNA ID
NC
01
C0457
MEDCOST ID
NC
Enumeration date
08/11/2005
Last updated
05/10/2021
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