Individual
ANTHONY TYRONE BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-6729
Mailing address
1906 ELTON DR, GOLDSBORO, NC 27530-1306
(706) 315-6166
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1034248
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034248
NCCPA
GA
Enumeration date
10/26/2006
Last updated
10/06/2008
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