Individual
DR. GRAHM G BAHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3025 MAPLE DR NE, SUITE 2, ATLANTA, GA 30305-2618
(404) 231-1227
(404) 364-0834
Mailing address
3071 PEACHTREE INDUSTRIAL BLVD, #110, DULUTH, GA 30097-8641
(770) 232-9778
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD001245
GA
213EP1101X
Primary Podiatric Medicine Podiatrist
POD001245
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001245
GA
213ES0131X
Foot Surgery Podiatrist
POD001245
GA
Other
Enumeration date
12/12/2011
Last updated
09/26/2019
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