1891354510 NPI number — GWENDOLYN GISINER GUNN

Table of content: GWENDOLYN GISINER GUNN (NPI 1891354510)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891354510 NPI number — GWENDOLYN GISINER GUNN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUNN
Provider First Name:
GWENDOLYN
Provider Middle Name:
GISINER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891354510
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/06/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
WOODRUFF MEMORIAL RESEARCH BUILDING
Provider Second Line Business Mailing Address:
101 WOODRUFF CIRCLE, 7TH FLOOR, SUITE 7130
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30322
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-778-8552
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
EMORY GENETICS CLINIC
Provider Second Line Business Practice Location Address:
1365 CLIFTON ROAD NE
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30322
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-778-8570
Provider Business Practice Location Address Fax Number:
404-778-8562
Provider Enumeration Date:
06/06/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 170300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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