Healthcare Provider Details

I. General information

NPI: 1760396154
Provider Name (Legal Business Name): CARLY MADISON HUNT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3976 COUNTY ROAD 17
SOUTH POINT OH
45680-7695
US

IV. Provider business mailing address

1017 COUNTY ROAD 30
KITTS HILL OH
45645-8962
US

V. Phone/Fax

Practice location:
  • Phone: 740-237-5629
  • Fax:
Mailing address:
  • Phone: 740-237-5629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: