Individual provider · Type 1 NPI

Victoria Briana Bonomo

Physician Assistant · Carrollton, GA

NPI number 1972350122 Active

Practice location

1131 Bankhead Hwy Ste 100
Carrollton, GA 30116-8703

Call (678) 890-7648 Map

Mailing address

174 Twin Oaks Ln
Dallas, GA 30157-3859

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X12942 (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 1972350122

Victoria Briana Bonomo's National Provider Identifier is 1972350122, issued on May 6, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Carrollton, GA. The record was last updated on Sep 16, 2025.