Organization
PULMONARY AND CRITICAL CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P GUNTER MD (SOLE MEMBER)
(423) 499-2712
Entity
Organization
Contact information
Practice address
8427 PROVIDENCE RD, OOLTEWAH, TN 37363-9619
(423) 499-2712
(281) 833-3323
Mailing address
PO BOX 128, BELLAIRE, TX 77402-0128
(281) 833-3330
(281) 833-3323
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
17160
TN
207RP1001X
Pulmonary Disease Physician
17160
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528080421
GROUP NPI
TN
05
—
3735068
—
TN
01
—
DG2514
RR MEDICARE
TN
Enumeration date
07/23/2006
Last updated
12/29/2014
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