Provider Demographics
NPI:1912364423
Name:HUNT, ANGELA GAIL (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:GAIL
Last Name:HUNT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7 LITTLE BEAR DR
Mailing Address - Street 2:
Mailing Address - City:CATAULA
Mailing Address - State:GA
Mailing Address - Zip Code:31804-4422
Mailing Address - Country:US
Mailing Address - Phone:706-577-9610
Mailing Address - Fax:706-317-2122
Practice Address - Street 1:105 ENTERPRISE CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-3600
Practice Address - Country:US
Practice Address - Phone:706-317-2673
Practice Address - Fax:706-317-2122
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN107436363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care