Individual provider · Type 1 NPI

Stephen Joseph Bonanni Jr., PA

Physician Assistant · Hinesville, GA

NPI number 1760812895 Active · reactivated May 9, 2025

Practice location

508 N Main St Ste A
Hinesville, GA 31313-2570

Call (912) 785-2100 Map

Fax (912) 368-3868

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X12279 (GA)
Physician Assistant 363A00000XNone listed

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 1760812895

Stephen Joseph Bonanni Jr., PA's National Provider Identifier is 1760812895, issued on Nov 27, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hinesville, GA. The record was last updated on Sep 16, 2025.