Doctor Name: | AMANDA GUNTER |
NPI Number: | 1013336916 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | RN164900 |
Business Practice Address: | 366 Hillsboro Rd Bishop, GA - 306211509 |
Business Phone Number: | 7062966134 |
Business Fax Number: | |
Mailing Address: | 366 Hillsboro Rd, BISHOP |
State: | GA |
Postal Code: | 306211509 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/08/2014 |
NPI Last Update Date: | 04/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN164900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |