NPI 1003369083

Nancy Bonner

Practitioner Allergy Physician Marietta, GA

Practice location

Address: 2150 Northwest Pkwy SE Suite a, Marietta, GA 30067-9305
Phone: (888) 816-7047
Fax: (888) 840-1265

Registered specialties (2)

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence GA (GA)

Other Allergy & Immunology providers in Georgia →

Allergy & Immunology Physician

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence GA (GA)

Registry record

NPI: 1003369083
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2016
Record last updated: 26 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.