Bomar, Catherine R
Bomar, Catherine R is an individual health care provider with primary practice located at 1100 Lake Hearn Drive Ste 450, Atlanta GA 30342. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bomar, Catherine R can be contacted via phone (404) 252-7339.Contact Information
Primary practice address
1100 Lake Hearn Drive Ste 450
Atlanta GA 30342
Phone: (404) 252-7339
Fax: (404) 257-0337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R077495 | Georgia |
Profile Details
| NPI number | 1093755175 |
|---|---|
| LBN Legal business name | Bomar, Catherine R |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | May 22nd, 2012 - about 13 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 | 1093755175 | NPPES |
| Georgia | MEDICAID | 000487099A |
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