Basic Information
Provider Information
NPI: 1891860508
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUNTER
FirstName: DEBBIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RN, FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1364 CLIFTON RD NE
Address2: HOSPITAL MEDICINE DEPT, BOX M-7
City: ATLANTA
State: GA
PostalCode: 303221059
CountryCode: US
TelephoneNumber: 4047785334
FaxNumber: 4047785495
Practice Location
Address1: 1364 CLIFTON RD NE
Address2: HOSPITAL MEDICINE DEPT, BOX M-7
City: ATLANTA
State: GA
PostalCode: 303221059
CountryCode: US
TelephoneNumber: 4047785334
FaxNumber: 4047785495
Other Information
ProviderEnumerationDate: 11/21/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XRN052101GAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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