Individual
MR. WILLIAM FORREST BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-1112
Mailing address
1068 BRIAR CLIFF LN, AUBURN, AL 36830-2315
(334) 703-1273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-116056
AL
363LF0000X
Family Nurse Practitioner
RN288946
GA
Other
Enumeration date
05/31/2019
Last updated
10/24/2019
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