Marlon Bonner, | |
810 Kirkly Way, Fairburn, GA 30213-2482 | |
(706) 332-9395 | |
Not Available |
Full Name | Marlon Bonner |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 10 Years |
Location | 810 Kirkly Way, Fairburn, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225442734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Douglas Hospital | Douglasville, GA | Hospital |
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
Southeastern Regional Medical Center | Newnan, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Anesthesia Associates Llc | 3577457183 | 257 |
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Grady Memorial Hospital Corporation | 7517032998 | 262 |
Concordia Anesthesiology Inc | 8325172885 | 60 |
Entity Name | Piedmont Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604 |
Entity Name | Georgia Anesthesiologists, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740299197 PECOS PAC ID: 7315835063 Enrollment ID: O20040305000398 |
Entity Name | Grady Memorial Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
Entity Name | Concordia Anesthesiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619296464 PECOS PAC ID: 8325172885 Enrollment ID: O20100819000220 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Marlon Bonner, 810 Kirkly Way, Fairburn, GA 30213-2482 Ph: (706) 332-9395 | Marlon Bonner, 810 Kirkly Way, Fairburn, GA 30213-2482 Ph: (706) 332-9395 |