Individual
WILLIAM R BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-3900
Mailing address
482 PINE RIDGE TRL SE, MARIETTA, GA 30067-7034
(404) 433-3597
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
10/29/2011
Last updated
10/29/2011
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