Provider Demographics
NPI:1730125931
Name:HUNT, TERRY G (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:G
Last Name:HUNT
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 1:12 W CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-1257
Mailing Address - Country:US
Mailing Address - Phone:513-523-4195
Mailing Address - Fax:513-523-4353
Practice Address - Street 1:12 WEST CHURCH STREET
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-1257
Practice Address - Country:US
Practice Address - Phone:513-523-4195
Practice Address - Fax:513-523-4353
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35029239207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA74346Medicare UPIN