Organization
BONNERS INC.
Active
Other names
BONNERS MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRADLEY BONNER (VICE PRESIDENT)
(334) 283-5625
Entity
Organization
Contact information
Practice address
207 GILMER AVE, TALLASSEE, AL 36078-1209
(334) 283-5625
(334) 283-5809
Mailing address
207 GILMER AVE, TALLASSEE, AL 36078-1209
(334) 283-5625
(334) 283-5809
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
260018275
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009993565
—
AL
Enumeration date
06/28/2005
Last updated
05/18/2012
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