Healthcare Provider Details

I. General information

NPI: 1811996655
Provider Name (Legal Business Name): PATRICIA B. HUNT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 PLAZA WAY NW STE E
MARIETTA GA
30060-1141
US

IV. Provider business mailing address

4295 COUNTRY GARDEN WALK
KENNESAW GA
30152
US

V. Phone/Fax

Practice location:
  • Phone: 770-732-5101
  • Fax: 770-974-3955
Mailing address:
  • Phone: 770-235-2462
  • Fax: 770-917-1646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberRN065909
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: