Individual
MR. CLIFTON GUNTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-AA
Contact information
Practice address
1984 PEACHTREE RD. NW, STE. 515, ATLANTA, GA 30309-1281
(404) 351-1745
(404) 351-7121
Mailing address
827 W. PONCE DE LEON AVE, DECATUR, GA 30030-2859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002562
GA
367H00000X
Anesthesiologist Assistant
Primary
002562
GA
Other
Enumeration date
05/25/2006
Last updated
07/20/2015
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