Provider Demographics
NPI:1114015849
Name:HUNTER, JAMES CLINTON (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CLINTON
Last Name:HUNTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 GREY FOX LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5098
Mailing Address - Country:US
Mailing Address - Phone:910-609-6703
Mailing Address - Fax:910-609-5367
Practice Address - Street 1:216 GREY FOX LN
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5098
Practice Address - Country:US
Practice Address - Phone:910-609-6703
Practice Address - Fax:910-609-5367
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D05427Medicare UPIN