Individual
BONING MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
745 MEMORIAL DR SE, ATLANTA, GA 30316-1185
(404) 616-5773
Mailing address
3930 PEACHTREE RD NE APT 538, BROOKHAVEN, GA 30319-3878
(617) 818-1056
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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