Provider Demographics
NPI:1477589695
Name:HUNTE, EYSTON ASQUITH (MD)
Entity Type:Individual
Prefix:DR
First Name:EYSTON
Middle Name:ASQUITH
Last Name:HUNTE
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 1:120 N LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-2258
Mailing Address - Country:US
Mailing Address - Phone:251-438-4222
Mailing Address - Fax:251-438-4245
Practice Address - Street 1:120 N LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-2258
Practice Address - Country:US
Practice Address - Phone:251-438-4222
Practice Address - Fax:251-438-4245
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000006323207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000006323OtherSTATE LICENSE NUMBER
AL528302620Medicaid
AL528302620Medicaid
AL528302620Medicaid
AL000006323OtherSTATE LICENSE NUMBER