Mrs Bonita Ponder, FNP | |
2720 Loganville Hwy, Loganville, GA 30052-7715 | |
(770) 277-5996 | |
Not Available |
Full Name | Mrs Bonita Ponder |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 2720 Loganville Hwy, Loganville, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346594959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN149123 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minuteclinic Llc | 6709850241 | 556 |
Entity Name | Minuteclinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20051024000186 |
Mailing Address | Practice Location Address |
---|---|
Mrs Bonita Ponder, FNP 2720 Loganville Hwy, Loganville, GA 30052-7715 Ph: (770) 277-5996 | Mrs Bonita Ponder, FNP 2720 Loganville Hwy, Loganville, GA 30052-7715 Ph: (770) 277-5996 |
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