Individual
MR. LEON BOHANAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2316 BUTLER BRIDGE RD, COVINGTON, GA 30016-4927
(770) 383-5889
Mailing address
2316 BUTLER BRIDGE RD, COVINGTON, GA 30016-4927
(770) 383-5889
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN128692
GA
163WH0200X
Home Health Registered Nurse
Primary
RN128692
GA
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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