Search › Georgia › 111N00000X
Yamil Bonilla
NPI 1053279976 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1551 Riverside Pkwy Apt 6102
Lithia Springs, GA 30122 - Phone
- (470) 779-0290
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia