Individual
DR. GAREY A BONNER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD,PA
Contact information
Practice address
806 MISSISSIPPI DR, WAYNESBORO, MS 39367-2438
(601) 735-5086
(601) 735-5089
Mailing address
806 MISSISSIPPI DR, PO BOX 482, WAYNESBORO, MS 39367-2438
(601) 735-5086
(601) 735-5089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1919-81
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114096856
NPI
MS
Enumeration date
11/04/2013
Last updated
11/04/2013
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