Healthcare Provider Details
I. General information
NPI: 1033040837
Provider Name (Legal Business Name): SEAN DYLAN HUNT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
38 S CROMWELL RD
SAVANNAH GA
31410-4422
US
IV. Provider business mailing address
38 S CROMWELL RD
SAVANNAH GA
31410-4422
US
V. Phone/Fax
- Phone: 912-210-8366
- Fax:
- Phone: 912-210-8366
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 146N00000X |
| Taxonomy | Basic Emergency Medical Technician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2255A2300X |
| Taxonomy | Athletic Trainer |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: