Provider Demographics
NPI:1699416941
Name:HUNTER, SANDRA DEANN
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:DEANN
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 ANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36344-1101
Mailing Address - Country:US
Mailing Address - Phone:334-400-8135
Mailing Address - Fax:
Practice Address - Street 1:201 ANDERSON AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:AL
Practice Address - Zip Code:36344-1101
Practice Address - Country:US
Practice Address - Phone:334-400-8135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-01
Last Update Date:2022-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health