| Bonnie Craven Llc | |
|
132 Stephenson Ave Savannah GA 31405-5828 | |
| (912) 441-3350 | |
| Not Available |
| Full Name | Bonnie Craven Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 132 Stephenson Ave, Savannah, Georgia |
| Authorized Official Name and Position | Bonnie Leigh Craven (PRESIDENT) |
| Authorized Official Contact | 9124413350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Craven Llc Po Box 60764 Savannah GA 31420-0764 Ph: (912) 441-3350 | Bonnie Craven Llc 132 Stephenson Ave Savannah GA 31405-5828 Ph: (912) 441-3350 |
| NPI Number | 1063823532 |
|---|---|
| Provider Enumeration Date | 05/18/2014 |
| Last Update Date | 05/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063823532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC006058 (Georgia) | Primary |
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