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
Fax: (404) 521-0067
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316967524 NPPES
Georgia MEDICAID 00797662A

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