| Doctor Name: | BONITA HUNT |
| NPI Number: | 1942545959 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1455 |
| Business Practice Address: | 1572 Highway 85 N Suite 340 Fayetteville, GA - 302144054 |
| Business Phone Number: | 7706291600 |
| Business Fax Number: | |
| Mailing Address: | Po Box 90007, EAST POINT |
| State: | GA |
| Postal Code: | 303640007 |
| Phone Number: | 7707712941 |
| Fax Number: | |
| NPI Enumeration Date: | 12/02/2012 |
| NPI Last Update Date: | 12/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1455 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ZZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |