Basic Information
Provider Information
NPI: 1285012625
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUNSUCKER
FirstName: MATTHEW
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 125 MACNIDER HL
Address2: CAMPUS BOX 7005
City: CHAPEL HILL
State: NC
PostalCode: 275997005
CountryCode: US
TelephoneNumber: 9199664468
FaxNumber:  
Practice Location
Address1: 130 MASON FARM RD
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275996134
CountryCode: US
TelephoneNumber: 9199664468
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/18/2015
LastUpdateDate: 04/11/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X210372RTLNCY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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