Organization
MARIETTA NEWBORN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA B HUNT NP (OWNER)
(770) 235-2462
Entity
Organization
Contact information
Practice address
50 PLAZA WAY, SUITE E, MARIETTA, GA 30060
(404) 454-9716
(770) 793-9260
Mailing address
4295 COUNTRY GARDEN WALK, KENNESAW, GA 30152
(770) 235-2462
(770) 974-3955
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R065909
GA
364SN0000X
Neonatal Clinical Nurse Specialist
R047729
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000585494B
—
GA
05
—
000585505B
—
GA
Enumeration date
05/22/2008
Last updated
03/12/2019
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