Individual
MR. CORY M BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
3960 NEW COVINGTON PIKE, MEMPHIS, TN 38128-2504
(901) 516-5211
Mailing address
5885 AIRLINE RD UNIT 1017, ARLINGTON, TN 38002-5123
(901) 317-7427
(901) 317-7585
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
128867
TN
363L00000X
Nurse Practitioner
Primary
11785
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3642734
—
TN
Enumeration date
10/24/2006
Last updated
09/22/2016
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