Bumgarner, Laurie

Bumgarner, Laurie is an individual health care provider with primary practice located at 1918 Randolph Rd Suite 175, Charlotte NC 28207-1100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bumgarner, Laurie can be contacted via phone (704) 316-1050.

Contact Information

Primary practice address
1918 Randolph Rd Suite 175 Charlotte NC 28207-1100
Phone: (704) 316-1050
Fax: (704) 316-1051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38018 North Carolina

Profile Details

NPI number 1366412538
LBN Legal business name Bumgarner, Laurie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Oct 29th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366412538 NPPES
North Carolina MEDICAID 2159218D

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