Mark W Bonner is a General Practice in Macon, Georgia. Mark W Bonner practices all healthcare services and medical treatments related to General Practice. 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 |
|---|---|
| Address | 1157 Forsyth St, Macon, Georgia |
| Phone Number | 4787458581 |
| Fax Number | 4783280438 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811961600 |
|---|---|
| Provider Enumeration Date | 2006-02-16 |
| Last Updated Date | 2015-04-22 |
Provider Mailing Address Detail
| Address | 1157 Forsyth St |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 31201 |
| Phone Number | 4787458581 |
| Fax Number | 4783280438 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 57047 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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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 General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
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.