Individual
TALITHA BONNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1388B WELLBROOK CIR NE, CONYERS, GA 30012-3872
(770) 388-7745
(770) 922-0526
Mailing address
1388B WELLBROOK CIR NE, CONYERS, GA 30012-3872
(770) 388-7745
(770) 922-0526
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
018640
GA
Other
Enumeration date
02/20/2006
Last updated
07/08/2007
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