Individual
DR. ANTHONY CHARLES BONFIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-0429
(762) 408-2719
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-0429
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD-14870
HI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD14870
HI
Other
Enumeration date
10/20/2006
Last updated
12/05/2023
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