Individual
CHASE GUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
817 WILCOT BRANCH CT, CONWAY, SC 29526-1205
(843) 457-8648
Mailing address
817 WILCOT BRANCH CT, CONWAY, SC 29526-1205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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