Individual
ROBERT BUMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3080 HIGHLANDS PKWY SE, SMYRNA, GA 30082-5181
(770) 540-7942
Mailing address
920 2ND AVE S STE 400, MINNEAPOLIS, MN 55402-3318
(612) 659-7111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN135809 NP
GA
Other
Enumeration date
10/02/2006
Last updated
10/31/2007
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