Individual
MS. MICHELLE BUNTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1061 HARMON AVE STE 1D03, FORT STEWART, GA 31314-5641
(931) 801-1246
Mailing address
1061 HARMON AVE STE 1D03, FORT STEWART, GA 31314-5641
(931) 801-1246
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
167575
TN
163WG0000X
General Practice Registered Nurse
Primary
167575
TN
163WM0705X
Medical-Surgical Registered Nurse
167575
TN
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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