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NPI Code Detail

MEDICARE: MATTIE N GUNTER

MEDICARE: MATTIE N GUNTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-440025GA

General Provider Information

NPI Number : 1245189935
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTIE N GUNTER
Provider Business Mailing Address
First Line : 387 WILDWOOD CIR SE
Second Line :
City : CALHOUN
State : GA
Zip : 30701-3669
Country : US
Telephone Number : 770-547-5395
Fax Number : 855-832-6727
Provider Business Practice Location Address
First Line : 260 PEACHTREE ST NW STE 2200
Second Line :
City : ATLANTA
State : GA
Zip : 30303-1292
Country : US
Telephone Number : 855-832-7627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “ MATTIE N GUNTER ” Practice Location

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