Individual
DR. CATHERINE MARY BONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 WINN WAY, DECATUR, GA 30030-2111
(404) 299-9724
(404) 299-0382
Mailing address
315 WINN WAY, DECATUR, GA 30030-2111
(404) 299-9724
(404) 299-0382
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
030435
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000433617B
—
GA
05
—
000433617G
—
GA
01
—
0700305
UNITED HEALTHCARE
GA
01
—
618191
BLUE CROSS BLUE SHIELD
GA
Enumeration date
05/20/2006
Last updated
12/13/2017
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