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Individual

BUNNY DOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PC-C

Contact information

Practice address
980 SANDERS RD, STE B, CUMMING, GA 30041-5977
(770) 781-8840
(770) 781-8098
Mailing address
980 SANDERS RD, STE B, CUMMING, GA 30041-5977
(770) 781-8840
(770) 781-8098

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004107
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003141545C
GA
Enumeration date
06/20/2007
Last updated
02/01/2017
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