Provider Demographics
NPI:1326089426
Name:HURST, JOSEPH STEVE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:STEVE
Last Name:HURST
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:P.O. BOX 4239
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31914-0239
Mailing Address - Country:US
Mailing Address - Phone:706-507-5911
Mailing Address - Fax:706-507-5913
Practice Address - Street 1:2101 NORTH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904
Practice Address - Country:US
Practice Address - Phone:706-507-5911
Practice Address - Fax:706-507-5913
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA040416207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00674693LMedicaid
G06173Medicare UPIN
GAGRP7660Medicare PIN
GA00674693LMedicaid