Individual
DR. LOIDA E. BONNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
745 GLYNN ST S, FAYETTEVILLE, GA 30214-2049
(770) 719-5490
(770) 719-3113
Mailing address
1267 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-2114
(770) 719-5601
(678) 817-4361
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59375
GA
Other
Enumeration date
05/16/2006
Last updated
07/11/2016
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