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1659351856
JACK H BUMGARDNER
ROCKY MOUNT, VA
NPI
1659351856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101-021970)
Enumeration Date
2006-01-23
Last Update Date
2014-03-28
Business Address
Dr. JACK H BUMGARDNER MD
195 MAPLE AVE
ROCKY MOUNT, VA 24151-1506
Phone number: 540-483-5168
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Mailing Address
Dr. JACK H BUMGARDNER MD
195 MAPLE AVE
ROCKY MOUNT, VA 24151-1506
Phone number: 540-483-5168
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