Individual
JOHN P GUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
0000017160
TN
207RP1001X
Pulmonary Disease Physician
17160
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3059915
INDIVIDUAL MEDICARE PTAN
—
05
—
3059915
—
TN
01
—
4136248
BLUE CROSS BLUE SHIELD
TN
01
—
P00424963
RR MEDICARE
TN
Enumeration date
02/15/2006
Last updated
12/29/2014
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