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Marlon Bonner
NPI 1225442734 · on the registry since 2014
Practice
- Address
- 810 Kirkly Way
Fairburn, GA 30213 - Phone
- (706) 332-9395
Registry record
- Primary taxonomy
- 367H00000X
367H00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-12
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