Provider Demographics
NPI:1518139575
Name:HUNTER, SUSAN CHRISTINA (RN)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:CHRISTINA
Last Name:HUNTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 MILLER CT E
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-1456
Mailing Address - Country:US
Mailing Address - Phone:770-734-8091
Mailing Address - Fax:770-734-8094
Practice Address - Street 1:8000 MILLER CT E
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-1456
Practice Address - Country:US
Practice Address - Phone:770-734-8091
Practice Address - Fax:770-734-8094
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN156019101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)