Individual
ANNA MARIE BODNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
156 SW BROAD STREET, JESUP, GA 31545
(912) 530-7977
(912) 530-7978
Mailing address
156 SW BROAD STREET, JESUP, GA 31545
(912) 530-7977
(912) 530-7978
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005994
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930925
BCBS
GA
01
—
DC8072
PALMETTO GBA
—
Enumeration date
10/03/2006
Last updated
07/08/2007
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