Individual
MRS. NORETTA GAIL BUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D. I
Contact information
Practice address
515 FAIRBURN RD SW, SUITE 350, ATLANTA, GA 30331-2012
(404) 505-6754
(404) 505-6758
Mailing address
6911 AUTUMN RIDGE RD, STONE MOUNTAIN, GA 30087-4777
(770) 413-8151
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
LD000612
GA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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