Provider Demographics
NPI:1043051709
Name:MCCORD, HUNTER SYLVANUS
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:SYLVANUS
Last Name:MCCORD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 MEADOW RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:MOATSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26405-8354
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:162 MEADOW RIDGE LN
Practice Address - Street 2:
Practice Address - City:MOATSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26405-8354
Practice Address - Country:US
Practice Address - Phone:304-816-8441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide