Individual
DELANA ALICIA BONGIOVANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1719 RUSSELL PKWY STE 700, WARNER ROBINS, GA 31088-5765
(478) 328-7674
Mailing address
2900 REGINA DR, MACON, GA 31216-6368
(478) 335-4558
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN192704
GA
Other
Enumeration date
11/18/2015
Last updated
05/10/2024
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