Bundy, Albert Thomas

Bundy, Albert Thomas is an individual health care provider with primary practice located at 15 Hospital Center Blvd Suite 1, Hilton Head SC 29926-2727. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bundy, Albert Thomas can be contacted via phone (843) 689-9200.

Contact Information

Primary practice address
15 Hospital Center Blvd Suite 1 Hilton Head SC 29926-2727
Phone: (843) 689-9200
Fax: (843) 689-9201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14710 South Carolina

Profile Details

NPI number 1194709378
LBN Legal business name Bundy, Albert Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Apr 29th, 2010 - about 16 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 1194709378 NPPES
South Carolina MEDICAID TL4652

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