Individual
JOSEPH MCNEILL BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 BLUE RIDGE RD STE 400, RALEIGH, NC 27607
(919) 787-5380
(919) 787-3415
Mailing address
2800 BLUE RIDGE RD STE 400, RALEIGH, NC 27607-6477
(919) 787-5380
(919) 787-3415
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2013-00376
NC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2013-00376
NC
Other
Enumeration date
05/07/2010
Last updated
05/24/2021
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