Healthcare Provider Details

I. General information

NPI: 1932398856
Provider Name (Legal Business Name): JOSEPH GUTHRIE P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2007
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 E FRANKLIN ST
CHAPEL HILL NC
27514-2886
US

IV. Provider business mailing address

107 W HARGETT ST
RALEIGH NC
27601-1700
US

V. Phone/Fax

Practice location:
  • Phone: 919-913-0996
  • Fax: 919-918-4981
Mailing address:
  • Phone: 919-532-3700
  • Fax: 919-882-9502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberPA412
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-01953
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number14173
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: