SearchGeorgia2085R0202X

John Bundrick, M.D

NPI 1265791784 · on the registry since 2012

Practice

Address
705 Dixie Street
Carrollton, GA 30117
Phone
(770) 834-0751
Fax
(770) 834-0753
Organisation at this address
Tanner Medical Center, Inc
Tanner Medical Center, Inc
West Georgia Pathology, Llc
Healthliant Enterprises Inc
Tanner Medical Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
180

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
390200000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia