Provider Demographics
NPI:1063509750
Name:GUNTER, RITA LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:LOUISE
Last Name:GUNTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 FOUNTAINHEAD LANE
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-5417
Mailing Address - Country:US
Mailing Address - Phone:910-433-3600
Mailing Address - Fax:910-321-7102
Practice Address - Street 1:227 FOUNTAINHEAD LANE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5417
Practice Address - Country:US
Practice Address - Phone:910-433-3600
Practice Address - Fax:910-321-7102
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20909208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2802983OtherMEDICARE
NC10052OtherBLUE CROSS BLUE SHIELD
NC5912230Medicaid
NC10052OtherBLUE CROSS BLUE SHIELD