Individual
ROBERT BOOKMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 882-1411
Mailing address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 812-2369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
85806
GA
208M00000X
Hospitalist Physician
Primary
85806
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
01/26/2021
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