Individual
MR. STEPHEN JOSEPH BONANNI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
508 N MAIN ST STE A, HINESVILLE, GA 31313-2570
(912) 785-2100
(912) 368-3868
Mailing address
508 N MAIN ST STE A, HINESVILLE, GA 31313-2570
(912) 785-2100
(912) 368-3868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12279
GA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/27/2013
Last updated
09/16/2025
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