Individual
DR. GLEN JASON BUNN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
(912) 535-5555
(912) 535-5891
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301110110
MI
207P00000X
Emergency Medicine Physician
Primary
82620
GA
207Q00000X
Family Medicine Physician
82620
GA
Other
Enumeration date
06/13/2016
Last updated
06/11/2025
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