Individual
DR. EARLE WALCOTT GUNN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 FLOYD DR, ATHENS, GA 30607-1469
(762) 356-4780
Mailing address
3320 OLD JEFFERSON RD BLDG 800, ATHENS, GA 30607-1400
(706) 353-2990
(706) 353-2992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
026538
GA
208600000X
Surgery Physician
Primary
026538
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000365527O
—
GA
05
—
00365527C
—
GA
Enumeration date
11/01/2006
Last updated
07/17/2024
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