Individual
ALANA MERYLL BOZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
595 HURRICANE SHOALS RD NW, SUITE 300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(678) 252-2249
Mailing address
595 HURRICANE SHOALS RD NW, SUITE 300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(678) 252-2249
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
71684
GA
2080P0210X
Pediatric Nephrology Physician
71684
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2011
Last updated
07/21/2022
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