Healthcare Provider Details

I. General information

NPI: 1134469794
Provider Name (Legal Business Name): SARAH BETH HUNT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2013
Last Update Date: 05/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14311 GEORGE WASHINGTON HIGHWAY
MT. STORM WV
26739-0077
US

IV. Provider business mailing address

PO BOX 399
GRAFTON WV
26354-0399
US

V. Phone/Fax

Practice location:
  • Phone: 304-693-7616
  • Fax: 304-693-7776
Mailing address:
  • Phone: 304-265-0312
  • Fax: 304-265-0314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: