Provider Demographics
NPI:1578755955
Name:STUNDEN, JAMES ALASTAIR (NREMT-P)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ALASTAIR
Last Name:STUNDEN
Suffix:
Gender:M
Credentials:NREMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 GRANDMA BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:GRANTVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30220-1733
Mailing Address - Country:US
Mailing Address - Phone:678-447-1462
Mailing Address - Fax:
Practice Address - Street 1:280 GRANDMA BRANCH RD
Practice Address - Street 2:
Practice Address - City:GRANTVILLE
Practice Address - State:GA
Practice Address - Zip Code:30220-1733
Practice Address - Country:US
Practice Address - Phone:678-447-1462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6568146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic