Individual
TANYA KENNEDY BUNTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 SILVER LEAF DR, FAYETTEVILLE, GA 30214-1033
(404) 782-9025
Mailing address
125 SILVER LEAF DR, FAYETTEVILLE, GA 30214-1033
(404) 782-9025
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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