Basic Information
Provider Information
NPI: 1861780223
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUNLEY
FirstName: LAWSON
MiddleName: ZEBUL
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1209
Address2:  
City: FRANKLIN
State: NC
PostalCode: 287440569
CountryCode: US
TelephoneNumber: 8283496800
FaxNumber: 8283496810
Practice Location
Address1: 6750 CAROLINA BLVD
Address2:  
City: CLYDE
State: NC
PostalCode: 287217052
CountryCode: US
TelephoneNumber: 8286272211
FaxNumber: 8286272211
Other Information
ProviderEnumerationDate: 07/19/2011
LastUpdateDate: 01/04/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X2013-02502NCY Allopathic & Osteopathic PhysiciansFamily Medicine 

ID Information
IDTypeStateIssuerDescription
FH372219201 CONTROLLED SUBSTANCE REGISTRATION NUMBEROTHER


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