Individual
JUDITH F BOUNOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
102 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 338-4117
(252) 338-2087
Mailing address
2082 RIVERSHORE RD, ELIZABETH CITY, NC 27909-6212
(252) 335-1656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16829
NC
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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