Individual
MR. CARSON ALEXANDER BUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6000 SHAKERAG HL STE 108, PEACHTREE CITY, GA 30269-6523
(678) 619-0178
Mailing address
75 TITLEIST CT, NEWNAN, GA 30265-2075
(678) 857-7123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013171
GA
Other
Enumeration date
08/01/2024
Last updated
08/21/2024
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