Individual
DR. LEE BONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
215 CONSTITUTION DR, THOMASVILLE, GA 31757-4901
(229) 226-2386
(229) 226-9838
Mailing address
215 CONSTITUTION DR, THOMASVILLE, GA 31757-4901
(229) 226-2386
(229) 226-9838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014145
GA
122300000X
Dentist
DN18357
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856534042A
—
GA
Enumeration date
06/26/2008
Last updated
10/18/2016
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