| Bonner Medical Hair Group Incorporated | |
|
4600 Roswell Rd Atlanta GA 30342-3075 | |
| (256) 457-3071 | |
| Not Available |
| Full Name | Bonner Medical Hair Group Incorporated |
|---|---|
| Speciality | Internal Medicine |
| Location | 4600 Roswell Rd, Atlanta, Georgia |
| Authorized Official Name and Position | Johnny Lee Bonner (DOCTOR) |
| Authorized Official Contact | 2564573071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonner Medical Hair Group Incorporated 4310 Bronte Ln Douglasville GA 30135-4981 Ph: (256) 457-3071 | Bonner Medical Hair Group Incorporated 4600 Roswell Rd Atlanta GA 30342-3075 Ph: (256) 457-3071 |
| NPI Number | 1598225898 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 03/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598225898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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