Provider Demographics
NPI:1093942690
Name:HUNT, HAL MARSH JR (PA-C)
Entity Type:Individual
Prefix:
First Name:HAL
Middle Name:MARSH
Last Name:HUNT
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2257
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28353-2257
Mailing Address - Country:US
Mailing Address - Phone:910-610-4011
Mailing Address - Fax:910-276-0571
Practice Address - Street 1:500 LAUCHWOOD DR
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5501
Practice Address - Country:US
Practice Address - Phone:910-277-8300
Practice Address - Fax:910-276-0571
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-01847363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8101053Medicaid
SC1104PAMedicaid
NCNC0549AMedicare PIN