Bodner, Gary Roy

Bodner, Gary Roy is an individual health care provider with primary practice located at 5515 Powers Ridge Ct , Atlanta GA 30327-4295. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bodner, Gary Roy can be contacted via phone (770) 952-4945.

Contact Information

Primary practice address
5515 Powers Ridge Ct Atlanta GA 30327-4295
Phone: (770) 952-4945
Fax: (770) 952-0320
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 18205 Georgia

Profile Details

NPI number 1841286648
LBN Legal business name Bodner, Gary Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Oct 4th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841286648 NPPES
Georgia MEDICAID 000117686L
Georgia MEDICAID 000117686G
Georgia MEDICAID 000117686F

Popular Providers