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Individual

DR. ALBERT THOMAS BUNDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15 HOSPITAL CENTER BLVD, SUITE 1, HILTON HEAD, SC 29926-2727
(843) 689-9200
(843) 689-9201
Mailing address
15 HOSPITAL CENTER BLVD, SUITE 1, HILTON HEAD, SC 29926-2727
(843) 689-9200
(843) 689-9201

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14710
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TL4652
SC
Enumeration date
12/01/2005
Last updated
04/29/2010
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