Provider Demographics
NPI:1891354510
Name:GUNN, GWENDOLYN GISINER
Entity Type:Individual
Prefix:
First Name:GWENDOLYN
Middle Name:GISINER
Last Name:GUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WOODRUFF MEMORIAL RESEARCH BUILDING
Mailing Address - Street 2:101 WOODRUFF CIRCLE, 7TH FLOOR, SUITE 7130
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322
Mailing Address - Country:US
Mailing Address - Phone:404-778-8552
Mailing Address - Fax:
Practice Address - Street 1:EMORY GENETICS CLINIC
Practice Address - Street 2:1365 CLIFTON ROAD NE
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:404-778-8570
Practice Address - Fax:404-778-8562
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS