Individual
TABBERTINA BUNDRAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1776 N JEFFERSON ST NE, MILLEDGEVILLE, GA 31061-2229
(478) 456-1036
Mailing address
1776 N JEFFERSON ST NE, MILLEDGEVILLE, GA 31061-2229
(478) 456-1036
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
GA
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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