Individual
ANDREW WALLACE GUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
905 VERDAE BLVD STE 102, GREENVILLE, SC 29607-4098
(864) 522-6600
(864) 522-6605
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
082426
GA
208000000X
Pediatrics Physician
200201469
NC
208000000X
Pediatrics Physician
Primary
90098
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GA2583
—
SC
Enumeration date
07/13/2006
Last updated
09/13/2023
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