Individual
MS. BETSY J BUMBARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC L
Contact information
Practice address
5130 NW CABARRUS DR, CONCORD, NC 28027-7624
(704) 788-4111
Mailing address
1424 RAY SUGGS PL, CONCORD, NC 28027-4310
(704) 786-0384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1340
NC
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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