Individual
MRS. BONNIE SMITH SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.A.A.
Contact information
Practice address
2501 N. PATTERSON STREET, VALDOSTA, GA 31602
(229) 433-1000
Mailing address
2310 N. PATTERSON STREET, VALDOSTA, GA 31602
(229) 244-6852
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
006583
GA
Other
Enumeration date
09/27/2012
Last updated
06/28/2016
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