Provider Demographics
NPI:1346827185
Name:HGD, INC
Entity Type:Organization
Organization Name:HGD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:JEANETTE WIMPEE
Authorized Official - Last Name:GUNN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-401-9076
Mailing Address - Street 1:32 CHURCH STREET
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BROOK
Mailing Address - State:AL
Mailing Address - Zip Code:35213
Mailing Address - Country:US
Mailing Address - Phone:205-415-7536
Mailing Address - Fax:936-244-4503
Practice Address - Street 1:32 CHURCH STREET
Practice Address - Street 2:GUNN DERMATOLOGY
Practice Address - City:MOUNTAIN BROOK
Practice Address - State:AL
Practice Address - Zip Code:35213
Practice Address - Country:US
Practice Address - Phone:205-415-7536
Practice Address - Fax:936-244-4503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty