NPI 1013350263

Mark Robert Bombulie, MD

Practitioner Anesthesiology Physician Gainesville, GA

Practice location

Address: 743 Spring St NE, Gainesville, GA 30501
Phone: (770) 532-7179
Mailing address: 1488 Jesse Jewell Pkwy SE STE 100, Gainesville, GA 30501-3804

Registered specialties (2)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 079310 (GA)

Other Anesthesiology providers in Georgia →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Georgia →

Registry record

NPI: 1013350263
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2013
Record last updated: 7 Jun 2018

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.