Provider Demographics
NPI:1518167220
Name:EYSTON A. HUNTE MD PA
Entity Type:Organization
Organization Name:EYSTON A. HUNTE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EYSTON
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUNTE MD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-438-4222
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:
Mailing Address - Fax:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center