Individual
MS. GWENDOLYN ALEXANDRIA BODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1863 MEMORIAL DR SE, ATLANTA, GA 30317-2103
(404) 616-9304
(404) 616-9333
Mailing address
1863 MEMORIAL DR SE, ATLANTA, GA 30317-2103
(404) 616-9304
(404) 616-9333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
97673
GA
207Q00000X
Family Medicine Physician
Primary
MD469937
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT213375
PA
Other
Enumeration date
06/08/2017
Last updated
05/06/2026
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