Individual
CATHERINE J BOMBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
310 HOSPITAL DR, BUILDING B SUITE 315, MACON, GA 31217-3895
(478) 464-5000
(478) 464-5094
Mailing address
310 HOSPITAL DR, BUILDING B SUITE 315, MACON, GA 31217-3895
(478) 464-5000
(478) 464-5094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048188
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00875476A
—
GA
Enumeration date
08/23/2006
Last updated
12/17/2008
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