Mark W Bonner is a Dermatology in Macon, Georgia. Mark W Bonner practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Mark W Bonner is 1811961600. The last update date is 2015-04-22.
Mark W Bonner's current location address is 1157 Forsyth St, Macon, Georgia. You can contact this provider via phone number 4787458581 and fax number 4783280438. The mailing address for Mark W Bonner is 1157 Forsyth St, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark W Bonner |
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Address | 1157 Forsyth St, Macon, Georgia |
Phone Number | 4787458581 |
Fax Number | 4783280438 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1811961600 |
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Provider Enumeration Date | 2006-02-16 |
Last Updated Date | 2015-04-22 |
Provider Mailing Address Detail
Address | 1157 Forsyth St |
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City | Macon |
State | Georgia (GA) |
Post Code | 31201 |
Phone Number | 4787458581 |
Fax Number | 4783280438 |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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Taxonomy | 207N00000X |
Licence No | 57047 |
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
413577315A | GA | -- | |
P00258031 | GA | RAILROAD MEDICARE | |
DC4061 | GA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Mark W Bonner by the Centers for Medicare & Medicaid Services?
The Mark W Bonner has been issued the NPI (National Provider Identifier) 1811961600. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark W Bonner's physical address?
The Mark W Bonner is physically located at 1157 Forsyth St, in the city of Macon, GA, with the postal code 31201.
What is Mark W Bonner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark W Bonner's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
On what date did Mark W Bonner receive its 1811961600 assignment from the Centers for Medicare & Medicaid Services?
The Mark W Bonner was assigned its 1811961600 on 2006-02-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mark W Bonner most recently updated or refreshed?
The details pertaining to the Mark W Bonner, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-04-22.