Search › Georgia › 207RG0100X
Aymen Bukannan, MD
NPI 1700179983 · on the registry since 2011
Practice
- Address
- 112 Mimosa Dr
Thomasville, GA 31792 - Phone
- (229) 227-0045
- Organisation at this address
- Archbold Medical Group, Inc
Archbold Health Services, Inc.
Digestive Disease Center Of South Georgia, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 2799 W. Grand Blvd, K7 Room E-744, Detroit, MI
- 4500 Memorial Dr Ste 300, Belleville, IL
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207R00000X
207RG0100X - Licence states on file
- GA, MI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-17
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