Provider Demographics
NPI:1811077365
Name:HUNTER, JOHN MARK (CPHT)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:MARK
Last Name:HUNTER
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:
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Mailing Address - Street 1:1423 YONAH HOMER RD
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30558-4824
Mailing Address - Country:US
Mailing Address - Phone:706-658-4581
Mailing Address - Fax:706-335-0078
Practice Address - Street 1:1939 HOMER RD
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:GA
Practice Address - Zip Code:30529-1254
Practice Address - Country:US
Practice Address - Phone:706-335-0099
Practice Address - Fax:706-335-0078
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician