Individual
DR. ELLEN WEINBERG BONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6605 ABERCORN ST, SUITE108, SAVANNAH, GA 31405-5815
(912) 355-7214
Mailing address
6605 ABERCORN ST, SUITE108, SAVANNAH, GA 31405-5815
(912) 355-7214
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036480
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
036480
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000664001D
—
GA
Enumeration date
09/21/2005
Last updated
03/26/2013
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