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MARK W BONNER MD

Individual Provider (NPI-1) Active

Dermatology

Provider Information

NPI Number
1811961600
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
1157 FORSYTH ST, MACON, GA, 31201
Phone
(478) 745-8581
Fax
(478) 328-0438

Specialties & Taxonomies

Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist License: GA #057047
Dermatology, Procedural Dermatology License: GA #057047
Dermatology, Dermatopathology License: GA #057047
Dermatology, Clinical & Laboratory Dermatological Immunology License: GA #057047
Dermatology, Pediatric Dermatology License: GA #057047
Pharmacist License: GA #057047
General Practice License: GA #057047
Dermatology Primary License: GA #057047

All Addresses

MAILING

2400 BELLEVUE RD STE 21A

DUBLIN, GA, 310212890

(478) 275-7202

LOCATION

1157 FORSYTH ST

MACON, GA, 31201

(478) 745-8581