Individual
HEATHER N BUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
7306 GA HIGHWAY 21, SUITE 106, PORT WENTWORTH, GA 31407-9274
(912) 826-1500
(912) 826-1531
Mailing address
3 W PERRY ST, SUITE 106, SAVANNAH, GA 31401-3951
(912) 826-1500
(912) 826-1531
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN192027
GA
Other
Enumeration date
07/22/2014
Last updated
11/09/2016
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