Individual
AMBER HOLLY BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1484 LAKE CITY INDUSTRIAL CT, LAKE CITY, GA 30260-3544
(470) 491-2219
Mailing address
1484 LAKE CITY INDUSTRIAL CT, LAKE CITY, GA 30260-3544
(470) 491-2219
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
246RP1900X
Phlebotomy Technician
GA-13625-110122
GA
Other
Enumeration date
06/05/2023
Last updated
06/10/2024
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