Bohanan, Gerald Wayne

Bohanan, Gerald Wayne is an sole proprietor health care provider with primary practice located at 2706 Watson Blvd Suite D, Warner Robins GA 31093-2997. He recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as his primary health care specialty. Bohanan, Gerald Wayne can be contacted via phone (478) 953-6033.

Contact Information

Primary practice address
2706 Watson Blvd Suite D Warner Robins GA 31093-2997
Phone: (478) 953-6033
Fax: (478) 953-6047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X 10105 Georgia

Profile Details

NPI number 1871747022
LBN Legal business name Bohanan, Gerald Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2008
Last updated Nov 13th, 2008 - about 16 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.

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