Individual provider · Type 1 NPI

Stephanie Carolina Bono

Physician Assistant · Lawrenceville, GA

NPI number 1528987203 Active

Practice location

2200 Medical Center Blvd Ste 320
Lawrenceville, GA 30046-7767

Fax (678) 701-9860

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	14346 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1528987203

Stephanie Carolina Bono's National Provider Identifier is 1528987203, issued on Jul 15, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Oct 11, 2026.