Individual
HUNTTER OLLIE, EUGENE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 N STATE OF FRANKLIN RD STE 130, JOHNSON CITY, TN 37604-6972
(423) 431-2460
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6617
TN
363AS0400X
Surgical Physician Assistant
Primary
6617
TN
Other
Enumeration date
03/28/2025
Last updated
09/08/2025
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