Bodne, David J

Bodne, David J is an individual health care provider with primary practice located at 745 Poplar Road , Newnan GA 32605-1618. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bodne, David J can be contacted via phone (770) 400-1000.

Contact Information

Primary practice address
745 Poplar Road Newnan GA 32605-1618
Phone: (770) 400-1000
Fax: (256) 237-3787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23913 Alabama
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20363 North Dakota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 16259C Wyoming
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MC-185 Guam
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036687 Georgia

Profile Details

NPI number 1316944697
LBN Legal business name Bodne, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jul 17th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316944697 NPPES
Alabama MEDICAID 009948040
Alabama Other P01064288
Alabama MEDICAID 000542264M
Alabama Other 51500979

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