Individual
DR. GENA MARIE BONITATIBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4350 TOWNE CENTRE DR STE 1500, EVANS, GA 30809-3332
(706) 421-1700
(706) 396-0618
Mailing address
4350 TOWNE CENTRE DR STE 1500, EVANS, GA 30809-3332
(706) 421-1700
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
045041
GA
Other
Enumeration date
07/01/2005
Last updated
03/05/2024
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