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Individual

MARLON BONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
810 KIRKLY WAY, FAIRBURN, GA 30213-2482
(706) 332-9395
Mailing address
810 KIRKLY WAY, FAIRBURN, GA 30213-2482
(706) 332-9395

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
GA

Other

Enumeration date
06/12/2014
Last updated
06/12/2014
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