Provider Demographics
NPI:1982950630
Name:HUNTER, MELANIE D (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:D
Last Name:HUNTER
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 RIDGECREST LN
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-1362
Mailing Address - Country:US
Mailing Address - Phone:708-421-9409
Mailing Address - Fax:615-444-5317
Practice Address - Street 1:548 RIDGECREST LN
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-1362
Practice Address - Country:US
Practice Address - Phone:708-421-9409
Practice Address - Fax:615-444-5317
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC53174207Q00000X
TNMD0000042671207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine