National Provider Identifier Database

JOHN L BUNDRICK, MD – NPI #1265791784
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

JOHN L BUNDRICK, MD
705 DIXIE STREET
CARROLLTON, GA30117
Phone: 770-834-0751
Fax: 770-834-0753
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for JOHN L BUNDRICK

NPI Number 1265791784
Credentials MD
Entity Individual
Enumeration date 05/04/2012
Last updated 06/26/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • GA License #: 080497
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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