Provider Demographics
NPI:1669666376
Name:HUNT, CHRISTINE
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:HUNT
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 1:2928 ASPEN WOODS ENTRY
Mailing Address - Street 2:
Mailing Address - City:DORAVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30360
Mailing Address - Country:US
Mailing Address - Phone:678-754-8276
Mailing Address - Fax:770-696-5689
Practice Address - Street 1:2928 ASPEN WOODS ENTRY
Practice Address - Street 2:
Practice Address - City:DORAVILLE
Practice Address - State:GA
Practice Address - Zip Code:30360
Practice Address - Country:US
Practice Address - Phone:678-754-8276
Practice Address - Fax:770-696-5689
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA219527618AMedicaid