Provider Demographics
NPI:1275201683
Name:WHITE, HUNTER BEHRENS
Entity Type:Individual
Prefix:MR
First Name:HUNTER
Middle Name:BEHRENS
Last Name:WHITE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5227 CREEKSIDE LOOP
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-3983
Mailing Address - Country:US
Mailing Address - Phone:205-729-4400
Mailing Address - Fax:
Practice Address - Street 1:5227 CREEKSIDE LOOP
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-3983
Practice Address - Country:US
Practice Address - Phone:205-729-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-169314390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program