Provider Demographics
NPI:1083811442
Name:HUNT, JAMES MONROE (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MONROE
Last Name:HUNT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 CROSSBOW LN
Mailing Address - Street 2:
Mailing Address - City:TARPON SPGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-2810
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:235 W JACKSON ST
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31792-5404
Practice Address - Country:US
Practice Address - Phone:229-236-5455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRNUO1698207R00000X
FLOS10644207RR0500X
GA67131207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA67131OtherGA LICENSE