Brown, Timothy Bonitto
Brown, Timothy Bonitto is an sole proprietor health care provider with primary practice located at 83 Upper Riverdale Road Suite 135, Riverdale GA 30274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Brown, Timothy Bonitto can be contacted via phone (770) 991-0778.Contact Information
Primary practice address
83 Upper Riverdale Road Suite 135
Riverdale GA 30274
Phone: (770) 991-0778
Fax: (770) 991-7390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 032110 | Georgia |
Profile Details
| NPI number | 1255392346 |
|---|---|
| LBN Legal business name | Brown, Timothy Bonitto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Nov 14th, 2011 - about 14 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 | 1255392346 | NPPES |
| Georgia | Other | E83158 | COVENTRY HEALTH INSURANCE |
| Georgia | MEDICAID | 000416116L | COVENTRY HEALTH INSURANCE |
| Georgia | Other | 912295 | COVENTRY HEALTH INSURANCE |
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