Healthcare Provider Details

I. General information

NPI: 1669060620
Provider Name (Legal Business Name): BRITTANY HUNN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5136 RAPAHOE TRL
ATLANTA GA
30349-7076
US

IV. Provider business mailing address

1400 VETERANS MEMORIAL HWY SUIT-134 #512
MABLETON GA
30126
US

V. Phone/Fax

Practice location:
  • Phone: 404-697-1904
  • Fax:
Mailing address:
  • Phone: 404-503-3734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: