Bonnie, Karen W.
Bonnie, Karen W. is an individual health care provider with primary practice located at 427 Moreland Ave Ne Ste 400 , Atlanta GA 30307-1500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Bonnie, Karen W. can be contacted via phone (404) 521-2445.Contact Information
Primary practice address
427 Moreland Ave Ne Ste 400
Atlanta GA 30307-1500
Phone: (404) 521-2445
Fax: (404) 521-0067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 043002 | Georgia |
Profile Details
| NPI number | 1316967524 |
|---|---|
| LBN Legal business name | Bonnie, Karen W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316967524 | NPPES |
| Georgia | MEDICAID | 00797662A |
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