Provider Demographics
NPI:1689629313
Name:HUNT, JOHN R (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2000 E GREENVILLE ST
Mailing Address - Street 2:SUITE 2600
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1580
Mailing Address - Country:US
Mailing Address - Phone:864-231-2773
Mailing Address - Fax:864-231-2780
Practice Address - Street 1:2000 E GREENVILLE ST
Practice Address - Street 2:SUITE 2600
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1580
Practice Address - Country:US
Practice Address - Phone:864-231-2773
Practice Address - Fax:864-231-2780
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2014-02-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC7765208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC077650Medicaid
SC1999Medicare PIN
SCAA80717111Medicare PIN
SC077650Medicaid