Individual
DR. JOHN WILLIAM BUDELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2175 NORTHLAKE PKWY, BLDG 4 STE 142, TUCKER, GA 30084
(770) 496-2929
(770) 496-2930
Mailing address
2175 NORTHLAKE PKWY, BLDG 4 ST 142, TUCKER, GA 30084
(770) 496-2929
(770) 496-2930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17369
GA
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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