Provider Demographics
NPI:1659961712
Name:HUNTER, SETH DAVID
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:DAVID
Last Name:HUNTER
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:PO BOX 47
Mailing Address - Street 2:
Mailing Address - City:PECKS MILL
Mailing Address - State:WV
Mailing Address - Zip Code:25547-0047
Mailing Address - Country:US
Mailing Address - Phone:304-946-0097
Mailing Address - Fax:
Practice Address - Street 1:4718 HEWETT CREEK RD
Practice Address - Street 2:
Practice Address - City:HEWETT
Practice Address - State:WV
Practice Address - Zip Code:25108
Practice Address - Country:US
Practice Address - Phone:304-946-0097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant