Individual provider · Type 1 NPI
Nancy Bonner
Allergy Physician · Marietta, GA
NPI number
1003369083
Active
Practice location
2150 Northwest Pkwy SE, Suite A
Marietta, GA 30067-9305
Fax (888) 840-1265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology Physician | 207K00000X | GA (GA) |
| Allergy Physician Primary | 207KA0200X | GA (GA) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
About NPI 1003369083
Nancy Bonner's National Provider Identifier is 1003369083, issued on Jul 26, 2016. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Marietta, GA. The record was last updated on Jul 26, 2016.