Provider Demographics
NPI:1457843468
Name:HUNT, GILDA JOY (LAC)
Entity Type:Individual
Prefix:
First Name:GILDA
Middle Name:JOY
Last Name:HUNT
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 TRAILS END RD.
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-3549
Mailing Address - Country:US
Mailing Address - Phone:910-262-6613
Mailing Address - Fax:
Practice Address - Street 1:4039 MASONBORO LOOP RD STE 1D
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28409-3657
Practice Address - Country:US
Practice Address - Phone:910-262-6613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC944171100000X
NCLAC-944171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist