Individual
MR. MILTON RANDOLPH BUNDSCHU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
CARDIO-THORACIC SURGERY, 1365 CLIFTON ROAD, ATLANTA, GA 30322-0001
(404) 778-3567
(404) 778-4346
Mailing address
235 DREXEL AVE, DECATUR, GA 30030-2839
(404) 687-0557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000891
GA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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