Individual
NANCY BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 NORTHWEST PKWY SE, SUITE A, MARIETTA, GA 30067-9305
(888) 816-7047
(888) 840-1265
Mailing address
2150 NORTHWEST PKWY SE, SUITE A, MARIETTA, GA 30067-9305
(888) 816-7047
(888) 840-1265
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
GA
GA
207KA0200X
Allergy Physician
Primary
GA
GA
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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