Individual
BAILEY BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(828) 291-0129
Mailing address
4310 CARLYS WAY, GREENSBORO, NC 27410-8540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
314068
NC
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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