Provider Demographics
NPI:1851781256
Name:HUNTER, MARCUS B (MDIV)
Entity Type:Individual
Prefix:MR
First Name:MARCUS
Middle Name:B
Last Name:HUNTER
Suffix:
Gender:M
Credentials:MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 MACON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-8500
Mailing Address - Country:US
Mailing Address - Phone:762-821-2360
Mailing Address - Fax:
Practice Address - Street 1:3940 MACON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-8500
Practice Address - Country:US
Practice Address - Phone:762-821-2360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health