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Individual

DR. JOHN CHRISTIAN MUNDY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D., F.A.C.S.

Contact information

Practice address
1126 N CHURCH ST, SUITE 201, GREENSBORO, NC 27401-1000
(336) 273-9932
(336) 273-9936
Mailing address
3008 LAKE FOREST DR, GREENSBORO, NC 27408-3825
(336) 545-0494

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39046
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1000650
UNITED HEALTHCARE
NC
05
896137A
NC
Enumeration date
11/08/2005
Last updated
07/08/2007
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