Individual
MRS. MARILYN BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 MCCONVILLE RD, LYNCHBURG, VA 24502-4536
(434) 237-8886
(434) 239-6807
Mailing address
126 GREEN HILL DR, FOREST, VA 24551-4015
(434) 237-6186
(434) 239-6807
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024078254
VA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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