Gunter, Andrew Wallace

Gunter, Andrew Wallace is an individual health care provider with primary practice located at 905 Verdae Blvd Ste 102 , Greenville SC 29607-4098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gunter, Andrew Wallace can be contacted via phone (864) 522-6600.

Contact Information

Primary practice address
905 Verdae Blvd Ste 102 Greenville SC 29607-4098
Phone: (864) 522-6600
Fax: (864) 522-6605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200201469 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 082426 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 90098 South Carolina

Profile Details

NPI number 1083639777
LBN Legal business name Gunter, Andrew Wallace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083639777 NPPES
South Carolina MEDICAID GA2583

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