Individual provider · Type 1 NPI

Leon Bohanan Jr., RN

Home Health Registered Nurse · Covington, GA

NPI number 1124397419 Active

Practice location

2316 Butler Bridge Rd
Covington, GA 30016-4927

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN128692 (GA)
Home Health Registered Nurse Primary 163WH0200XRN128692 (GA)

Home Health Registered Nurse: Definition to come...

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About NPI 1124397419

Leon Bohanan Jr., RN's National Provider Identifier is 1124397419, issued on Dec 15, 2011. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Covington, GA. The record was last updated on Dec 15, 2011.