Individual
MR. EDWARD JAMES BUJOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4132 HICKORY BLVD, GRANITE FALLS, NC 28630-0965
(828) 396-4028
(828) 396-8783
Mailing address
PO BOX 965, 4132 HICKORY BLVD, GRANITE FALLS, NC 28630-0965
(828) 396-4028
(828) 396-8783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29829
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19642
BC
NC
01
—
2344390
MEDICARE PTAN GROUP
NC
05
—
8919642
—
NC
Enumeration date
09/13/2006
Last updated
04/05/2018
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