Individual
MRS. DEAXTRA BONHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
550 PEACHTREE ST NE STE 1275, ATLANTA, GA 30308-2240
(404) 872-3121
(404) 872-3119
Mailing address
550 PEACHTREE ST NE STE 1275, ATLANTA, GA 30308-2240
(404) 872-3121
(404) 872-3119
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
0024173381
VA
363LW0102X
Women's Health Nurse Practitioner
5009520
NC
363LW0102X
Women's Health Nurse Practitioner
Primary
GAA-NP000016
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003254615
—
GA
Enumeration date
08/29/2016
Last updated
12/06/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us