Individual
MRS. JAN DENISE GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
6325 HOSPITAL PKWY, JOHNS CREEK, GA 30097-5775
(678) 474-7100
Mailing address
5450 CRESTWICK WAY, CUMMING, GA 30040-0602
(404) 512-1543
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4772
GA
Other
Enumeration date
06/26/2007
Last updated
10/02/2012
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