Provider Demographics
NPI:1811996655
Name:HUNT, PATRICIA B (NP)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:B
Last Name:HUNT
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:4295 COUNTRY GARDEN WALK
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152
Mailing Address - Country:US
Mailing Address - Phone:770-235-2462
Mailing Address - Fax:770-917-1646
Practice Address - Street 1:50 PLAZA WAY NW STE E
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1141
Practice Address - Country:US
Practice Address - Phone:770-732-5101
Practice Address - Fax:770-974-3955
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN065909363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000585494BMedicaid
GA592219392EMedicaid
GA592219392AMedicaid
GA592219392DMedicaid