Individual
DR. BRYAN C BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
113 VIRGINIA RD, EDENTON, NC 27932-1446
(252) 482-3047
(252) 482-5061
Mailing address
113 VIRGINIA RD, EDENTON, NC 27932-1446
(252) 482-3047
(252) 482-5061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013-01771
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568787141
—
NC
Enumeration date
04/07/2010
Last updated
01/06/2022
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