Organization
ATLANTA GYNECOLOGY & OBSTETRICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE MARY BONK MD (PRESIDENT)
(404) 299-9724
Entity
Organization
Contact information
Practice address
315 WINN WAY, DECATUR, GA 30030-2111
(404) 299-9724
(404) 299-0382
Mailing address
315 WINN WAY, DECATUR, GA 30030-2111
(404) 299-9724
(404) 299-0382
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202G702161
MEDICARE PTAN
GA
Enumeration date
01/13/2009
Last updated
06/24/2020
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