Dr. Mark Robert Bombulie
Anesthesiologist
743 Spring St Ne
Gainesville
, Georgia 30501
Dr. Mark Robert Bombulie
Anesthesiologist
743 Spring St Ne
Gainesville
, Georgia 30501
(770) 534-1312
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Dr. Mark Robert Bombulie
- 1488 Jesse Jewell Pkwy Se Ste 100
- Gainesville, GA
- Zip : 30501-3804
- Fax : (770) 534-1312
- Phone : (770) 532-7179
Second Address
- Dr. Mark Robert Bombulie
- 743 Spring St Ne
- Gainesville, GA
- Zip : 30501
- Phone : (770) 532-7179
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 079310 | GA |
National Provider Identifier
| NPI | 1013350263 |
|---|---|
| Provider Name | Dr. Mark Robert Bombulie |
| First Address | Gainesville, GA 30501-3804 |
| Second Address | Gainesville, GA 30501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2013 |
| Last Update Date | 07/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.