Individual
PRICHA BUNYASARANAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
656 S 8TH ST, GRIFFIN, GA 30224-4214
(770) 228-2824
(770) 228-0210
Mailing address
656 S 8TH ST, GRIFFIN, GA 30224-4214
(770) 228-2824
(770) 228-0210
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14687
GA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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