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Contact Information

JOHN L BUNDRICK, MD
705 DIXIE STREET
CARROLLTON, GA30117
 Phone: 770-834-0751
 Fax: 770-834-0753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JOHN L BUNDRICK · (Male)

NPI Number 1265791784
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2012
Last updated 06/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 080497
Hospital affiliation(s)
  • ATHENS REGIONAL MEDICAL CENTER - (Acute Care)
    1199 PRINCE AVENUE
    ATHENS, GA 30606
  • CLEARVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    2151 WEST SPRING STREET
    MONROE, GA 30655
  • GOOD SAMARITAN HOSPITAL INC - (Critical Access)
    5401 LAKE OCONEE PARKWAY
    GREENSBORO, GA 30642
  • ST MARY'S HOSPITAL - (Acute Care)
    1230 BAXTER STREET
    ATHENS, GA 30606
  • TY COBB REGIONAL MEDICAL CENTER LLC - (Acute Care)
    367 CLEAR CREEK PARKWAY
    LAVONIA, GA 30553
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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