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Individual

DR. ELAINE MARIE BUNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 NEW YORK AVE, SUITE #160, OAK RIDGE, TN 37830-5212
(865) 483-5639
(865) 483-9346
Mailing address
200 NEW YORK AVE, SUITE #160, OAK RIDGE, TN 37830-5212
(865) 483-5639
(865) 483-9346

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD11035
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3166763
TN
05
3386121
TN
Enumeration date
06/15/2007
Last updated
01/18/2016
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