Healthcare Provider Details

I. General information

NPI: 1295567188
Provider Name (Legal Business Name): DEVIN JOE HUNT CRNA-DNAP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 08/19/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3651 WHEELER RD
AUGUSTA GA
30909-6521
US

IV. Provider business mailing address

3401 KAMEL CIR
AUGUSTA GA
30909-2713
US

V. Phone/Fax

Practice location:
  • Phone: 762-224-3005
  • Fax:
Mailing address:
  • Phone: 501-425-5801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN286210
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: