Individual
DR. ANTONIA REBECCA BUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
875 JOHNSON FERRY RD, STE 200, ATLANTA, GA 30342-1418
(404) 497-1020
(404) 252-1530
Mailing address
875 JOHNSON FERRY RD, STE 200, ATLANTA, GA 30342-1418
(404) 497-1020
(404) 252-1530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
051442
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
941298354A
—
GA
05
—
941298354B
—
GA
05
—
941298354C
—
GA
05
—
941298354D
—
GA
Enumeration date
03/13/2007
Last updated
10/15/2020
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