Individual
MS. ELAINE PATRICIA BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7950 MARTIN LOOP, USA MEDDAC, TMC #1, FORT BENNING, GA 31905-5647
(706) 545-4033
Mailing address
6202 CHARING DR, COLUMBUS, GA 31909-3734
(706) 332-2100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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