| Doctor Name: | MISS CAROL ELAINE GUNDEN |
| NPI Number: | 1073508313 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 89737 |
| Business Practice Address: | 485 Valley Rd Mocksville, NC - 270282074 |
| Business Phone Number: | 3367518000 |
| Business Fax Number: | 3367518010 |
| Mailing Address: | Po Box 751803, CHARLOTTE |
| State: | NC |
| Postal Code: | 282751803 |
| Phone Number: | 3367518000 |
| Fax Number: | 3367518010 |
| NPI Enumeration Date: | 09/13/2005 |
| NPI Last Update Date: | 07/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 89737 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |