Bundrick, John L

Bundrick, John L is an individual health care provider with primary practice located at 705 Dixie Street , Carrollton GA 30117. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bundrick, John L can be contacted via phone (770) 834-0751.

Contact Information

Primary practice address
705 Dixie Street Carrollton GA 30117
Phone: (770) 834-0751
Fax: (770) 834-0753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 080497 Georgia

Profile Details

NPI number 1265791784
LBN Legal business name Bundrick, John L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2012
Last updated Jun 26th, 2018 - about 8 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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