Healthcare Provider Details

I. General information

NPI: 1023356516
Provider Name (Legal Business Name): FELICIA E HUNT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2013
Last Update Date: 01/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PEACHTREE ST NE
ATLANTA GA
30308-2208
US

IV. Provider business mailing address

550 PEACHTREE ST NE
ATLANTA GA
30308-2208
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-6382
  • Fax: 404-686-4837
Mailing address:
  • Phone: 404-778-6382
  • Fax: 404-686-4837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN106627
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: