Search › Georgia › 207RE0101X
Srinivas Bontha, M.D
NPI 1770676405 · on the registry since 2006
Practice
- Address
- 625 Church St Ne
Marietta, GA 30060 - Phone
- (770) 422-2004
- Fax
- (770) 422-8465
- Organisation at this address
- Wellstar Medical Group, Llc
Marietta Ob Gyn Affiliates 2 LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207RE0101X
207RE0101X
- Also registered as
- 207RE0101X
- Licence states on file
- FL, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-01
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