Search › Georgia › 374J00000X
Imani Gunn
NPI 1225846793 · on the registry since 2024 · sole proprietor
Practice
- Address
- 7450 Ga Highway 21 Unit 912
Port Wentworth, GA 31407 - Phone
- (912) 419-0333
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Also registered as
- 102X00000X
103K00000X
302F00000X
374K00000X
374J00000X
101Y00000X
374T00000X
390200000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia