Healthcare Provider Details

I. General information

NPI: 1952388209
Provider Name (Legal Business Name): PAULA M GUENTHER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 09/17/2021
Certification Date: 09/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N ELAM AVE
GREENSBORO NC
27403-1127
US

IV. Provider business mailing address

61 WHITCHER ST NE SUITE 3100
MARIETTA GA
30060-1142
US

V. Phone/Fax

Practice location:
  • Phone: 336-547-1745
  • Fax:
Mailing address:
  • Phone: 770-429-0031
  • Fax: 678-819-4299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number231704
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: