Individual
SANDRA EILEEN BONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 315-3016
(912) 435-6577
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 315-3016
(912) 315-2414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004306
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019521134A
—
GA
Enumeration date
11/13/2006
Last updated
12/21/2023
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