Organization
DR MARTA BOGNAR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTA T BOGNAR M.D. (OWNER)
(770) 531-3711
Entity
Organization
Contact information
Practice address
961 SMOKY MOUNTAIN SPRINGS LANE NE, SUITE A, GAINESVILLE, GA 30501-2439
(770) 531-3711
(770) 531-3718
Mailing address
961 SMOKY MOUNTAIN SPRINGS LANE NE, SUITE A, GAINESVILLE, GA 30501-2439
(770) 531-3711
(770) 531-3718
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
040320
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00753849D
—
GA
Enumeration date
08/28/2006
Last updated
02/05/2008
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