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Individual
ELISSA HANDLEY TYSON BONNER
Active
Individual
ELISSA HANDLEY TYSON BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1780178269
AL
207Q00000X
Family Medicine Physician
Primary
MD.38980
AL
Other
Enumeration date
06/19/2018
Last updated
03/27/2026
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