Search › Georgia › 332B00000X
Bonnie Gray-Mauldin
NPI 1598193138 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1408 Harbor Lndg
Roswell, GA 30076 - Phone
- (678) 542-4053
- Fax
- (678) 802-2899
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Also registered as
- 332BX2000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-10-16
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