Brockman, Bonita L

Brockman, Bonita L is an individual health care provider with primary practice located at 2041 Mesa Valley Way Ste 185, Austell GA 30106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brockman, Bonita L can be contacted via phone (404) 785-8900.

Contact Information

Primary practice address
2041 Mesa Valley Way Ste 185 Austell GA 30106
Phone: (404) 785-8900
Fax: (404) 785-8948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 045410 Georgia

Profile Details

NPI number 1962443515
LBN Legal business name Brockman, Bonita L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 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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