Individual
DR. HUNTER JAMES HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10344 PARK RD STE 200, CHARLOTTE, NC 28210-8505
(704) 981-0033
(980) 237-8582
Mailing address
10344 PARK RD STE 200, CHARLOTTE, NC 28210-8505
(704) 981-0033
(980) 237-8582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9700978
NC
207Q00000X
Family Medicine Physician
DO0000001545
TN
207Q00000X
Family Medicine Physician
DO000001545
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I087364
MEDICARE PTAN
TN
01
—
4102165
BLUE CARE
—
01
—
TN0143
JOHN DEERE
TN
Enumeration date
11/20/2006
Last updated
04/10/2024
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