| Doctor Name: | MRS. TARA GRAVES GUNTER |
| NPI Number: | 1093033060 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 5004718 |
| Business Practice Address: | 600 W. Salisbury St Suite B Asheboro, NC - 272035591 |
| Business Phone Number: | 3366251172 |
| Business Fax Number: | 3366256434 |
| Mailing Address: | Po Box 2005, ASHEBORO |
| State: | NC |
| Postal Code: | 272042005 |
| Phone Number: | 3366251172 |
| Fax Number: | 3366256434 |
| NPI Enumeration Date: | 05/14/2010 |
| NPI Last Update Date: | 01/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 5004718 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |