Individual
ADAM BUNTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 100, CUMMING, GA 30040
(678) 513-2273
Mailing address
795 GOLF VISTA CT, MILTON, GA 30004-3030
(585) 747-7420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2017-00074
NC
207RC0000X
Cardiovascular Disease Physician
80200
GA
207RI0011X
Interventional Cardiology Physician
Primary
80200
GA
390200000X
Student in an Organized Health Care Education/Training Program
172809
NC
Other
Enumeration date
04/20/2011
Last updated
07/20/2020
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