Individual
DR. KAREN W. BONNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
427 MORELAND AVE NE STE 400, ATLANTA, GA 30307-1500
(404) 521-2445
(404) 521-0067
Mailing address
522 GLENDALE AVE, DECATUR, GA 30030-1601
(404) 245-5073
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
043002
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00797662A
—
GA
Enumeration date
07/20/2006
Last updated
07/08/2007
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