Individual
BONNIE FAY GOINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.N.P.
Contact information
Practice address
951 MATTHEW DR, STE D, WAYNESBORO, MS 39367-2565
(601) 735-3918
(601) 735-4227
Mailing address
951 MATTHEW DR, STE D, WAYNESBORO, MS 39367-2565
(601) 735-3918
(601) 735-4227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R850257
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05082511
—
MS
Enumeration date
10/31/2005
Last updated
10/12/2015
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