Individual
BRIAN BUNGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
113 FAIRPLAY ST, RUTLEDGE, GA 30663-2377
(706) 557-0211
Mailing address
55 ALISON TRL, COVINGTON, GA 30014-8932
(678) 925-3874
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010206
GA
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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