Basic Information
| Provider Information | |||||||||
| NPI: | 1740251966 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUNTER | ||||||||
| FirstName: | VERNON | ||||||||
| MiddleName: | ROSS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 930 FRANKLIN ST SE | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358014312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565394080 | ||||||||
| FaxNumber: | 2565394099 | ||||||||
| Practice Location | |||||||||
| Address1: | 930 FRANKLIN ST SE | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358014312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565394080 | ||||||||
| FaxNumber: | 2565394099 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/27/2006 | ||||||||
| LastUpdateDate: | 01/07/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 21004 | AL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 060052957 | 01 | RAILROAD MEDICARE | OTHER | 111869 | 05 | AL | MEDICAID | 111882 | 05 | AL | MEDICAID | 51598607 | 01 | AL | BCBS | OTHER | 000079113 | 05 | AL | MEDICAID | 51049254 | 01 | AL | BCBS | OTHER | 51049256 | 01 | AL | BCBS | OTHER | 5314536 | 01 | AETNA | OTHER | 111865 | 05 | AL | MEDICAID | 111873 | 05 | AL | MEDICAID | 111880 | 05 | AL | MEDICAID | 111884 | 05 | AL | MEDICAID | 3072756 | 01 | TN | BCBS | OTHER | 51049253 | 01 | AL | BCBS | OTHER | 51079113 | 01 | AL | BCBS | OTHER | P00747499 | 01 | AL | RAILROAD MEDICARE | OTHER | 25-10090 | 01 | UNITED HEALTHCARE | OTHER | 51049405 | 01 | AL | BCBS | OTHER | 51049406 | 01 | AL | BCBS | OTHER |