JACK H BUMGARDNER

ROCKY MOUNT, VA
NPI1659351856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0101-021970)
Enumeration Date2006-01-23
Last Update Date2014-03-28
Business Address
Dr. JACK H BUMGARDNER MD
195 MAPLE AVE
ROCKY MOUNT, VA 24151-1506
Phone number: 540-483-5168
Mailing Address
Dr. JACK H BUMGARDNER MD
195 MAPLE AVE
ROCKY MOUNT, VA 24151-1506
Phone number: 540-483-5168