Provider Demographics
NPI:1205142783
Name:HUNT, ROBIN ASAY (CPNP)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:ASAY
Last Name:HUNT
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 DALLAS HWY SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-2094
Mailing Address - Country:US
Mailing Address - Phone:770-943-9150
Mailing Address - Fax:
Practice Address - Street 1:3515 DALLAS HWY SW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-2094
Practice Address - Country:US
Practice Address - Phone:404-784-0738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN133692NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000897454EMedicaid
GA818552480AMedicaid
GA000897454EMedicaid