Individual
DR. KATHLEEN MARIE GUNCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 CHASTAIN ROAD MD 5200 HOUSE 52, KENNESAW STATE UNIVERSITY HEALTH CLINIC, KENNESAW, GA 30144-5591
(770) 423-6644
Mailing address
1646 MOUNT PARAN RD NW, ATLANTA, GA 30327-3806
(404) 467-4865
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
028760
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000381796L
—
GA
Enumeration date
06/04/2006
Last updated
06/18/2010
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