Provider Demographics
| NPI: | 1548490550 |
|---|---|
| Name: | FRANCIS M. KUNDI, MD, PC |
| Entity type: | Organization |
| Organization Name: | FRANCIS M. KUNDI, MD, PC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER / PHYSICIAN |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | FRANCIS |
| Authorized Official - Middle Name: | M |
| Authorized Official - Last Name: | KUNDI |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 229-985-1156 |
| Mailing Address - Street 1: | PO BOX 6957 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MACON |
| Mailing Address - State: | GA |
| Mailing Address - Zip Code: | 31208-6957 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 229-985-1156 |
| Mailing Address - Fax: | 229-985-2205 |
| Practice Address - Street 1: | 14 HOSPITAL PARK |
| Practice Address - Street 2: | |
| Practice Address - City: | MOULTRIE |
| Practice Address - State: | GA |
| Practice Address - Zip Code: | 31768-6700 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 229-985-1156 |
| Practice Address - Fax: | 229-985-2205 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2009-07-24 |
| Last Update Date: | 2009-07-24 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| GA | 207R00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Single Specialty |