Individual
JANICE LEE BUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
616 19TH ST, COLUMBUS, GA 31901-1528
(706) 494-4262
Mailing address
658 EVERGREEN DR, FORTSON, GA 31808-7311
(706) 596-1750
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
004144
GA
Other
Enumeration date
05/16/2006
Last updated
10/06/2007
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