Individual
MR. ERIC ROBERT GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, OTC
Contact information
Practice address
59 EXECUTIVE PARK S, EMORY ORTHOPAEDIC AND SPINE CENTER, ATLANTA, GA 30329-2208
(404) 778-7137
Mailing address
304 JENNYS ROW, WOODSTOCK, GA 30189-3420
(706) 248-1405
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001386
GA
246ZC0007X
Surgical Assistant
11-0624
GA
Other
Enumeration date
11/29/2006
Last updated
05/14/2012
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