Provider Demographics
NPI:1952614505
Name:HUNTER PATTERSON, LLC
Entity Type:Organization
Organization Name:HUNTER PATTERSON, LLC
Other - Org Name:REGIONAL SPINE & WRIST CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:SHANE
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-489-2870
Mailing Address - Street 1:7540 MEMORIAL PKWY SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-2265
Mailing Address - Country:US
Mailing Address - Phone:256-489-2870
Mailing Address - Fax:256-489-2878
Practice Address - Street 1:7540 MEMORIAL PKWY SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-2265
Practice Address - Country:US
Practice Address - Phone:256-489-2870
Practice Address - Fax:256-489-2878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-23
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
6524550001Medicare NSC