Individual
DR. JOHNNY LEE BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-8079
Mailing address
4310 BRONTE LN, DOUGLASVILLE, GA 30135-4981
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
67277
GA
208M00000X
Hospitalist Physician
67277
GA
Other
Enumeration date
05/16/2008
Last updated
07/30/2024
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