Individual
DR. NICOLAS SIMON BONNAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 TOWER RD NE, SUITE 200, MARIETTA, GA 30060-9404
(770) 427-5717
(770) 514-5040
Mailing address
300 TOWER RD NE, SUITE 200, MARIETTA, GA 30060-9404
(770) 427-5717
(770) 514-5040
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
071318
GA
Other
Enumeration date
06/26/2008
Last updated
12/17/2014
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