MARK BONNER, MD
Dermatology
Active
Individual
NPI: 1811961600
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | No | 057047 (GA) |
| Dermatology - Procedural Dermatology | 207NS0135X | No | 057047 (GA) |
| Dermatology - Dermatopathology | 207ND0900X | No | 057047 (GA) |
| Dermatology - Clinical & Laboratory Dermatological Immunology | 207NI0002X | No | 057047 (GA) |
| Dermatology - Pediatric Dermatology | 207NP0225X | No | 057047 (GA) |
| Pharmacist | 183500000X | No | 057047 (GA) |
| General Practice | 208D00000X | No | 057047 (GA) |
| Dermatology | 207N00000X | Yes | 057047 (GA) |
Frequently Asked Questions
NPI 1811961600 is the National Provider Identifier for MARK BONNER, MD, a Dermatology provider located in Macon, GA. This NPI was enumerated on February 16, 2006.
MARK BONNER, MD practices at 1157 FORSYTH ST, Macon, GA 31201.
Quick Facts
- NPI
- 1811961600
- Type
- Individual
- Enumerated
- Feb 16, 2006
- Last Updated
- May 3, 2024
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