Provider Demographics
NPI:1811400641
Name:MORTON-HUNTE, JANICE LA TARCIA (MD)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:LA TARCIA
Last Name:MORTON-HUNTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 AIRMONT DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-6547
Mailing Address - Country:US
Mailing Address - Phone:251-344-2818
Mailing Address - Fax:
Practice Address - Street 1:120 N LAFAYETTE ST STE A
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:
Is Sole Proprietor?:No
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10411207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine