Provider Demographics
NPI:1326049768
Name:HUNTER, LINDA G (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:G
Last Name:HUNTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 N KENTUCKY ST
Mailing Address - Street 2:PO BOX 864
Mailing Address - City:KINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:37763-2350
Mailing Address - Country:US
Mailing Address - Phone:865-376-4684
Mailing Address - Fax:865-376-4605
Practice Address - Street 1:1190 N KENTUCKY ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:TN
Practice Address - Zip Code:37763-2350
Practice Address - Country:US
Practice Address - Phone:865-376-4684
Practice Address - Fax:865-376-4605
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC000790111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3675908Medicaid
TN5838339OtherAETNA
TN3675908Medicaid
TN3675908Medicare ID - Type Unspecified