Individual
DR. STEVEN RICHARD BOMELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
960 JOHNSON FY RD NE, SUITE 200, ATLANTA, GA 30342-1631
(404) 943-0900
(404) 943-1390
Mailing address
960 JOHNSON FY RD NE, SUITE 200, ATLANTA, GA 30342-1631
(404) 943-0900
(404) 943-1390
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
071097
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071097
GA LICENSE
GA
01
—
1629781
CIGNA
NC
01
—
164XK
BCBSNC
NC
01
—
30099942
SELECT HEALTH OF SC
SC
05
—
5917792
—
NC
01
—
9219664
AETNA
NC
05
—
NC1403
—
SC
01
—
P01027663
MEDICARE RAILROAD
—
Enumeration date
06/11/2007
Last updated
12/10/2015
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