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Individual

JACOB JOSEPH BUNDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
WAKE FOREST BAPTIST HEALTH MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-5331
(336) 716-3560
Mailing address
WAKE FOREST BAPTIST HEALTH MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-1088
(336) 716-3560

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
248513
NC

Other

Enumeration date
05/16/2018
Last updated
06/09/2023
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