Individual
ALICIA BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-2513
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
95422
GA
Other
Enumeration date
03/26/2014
Last updated
05/30/2023
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