Mark W Bonner
Dermatologist General Practice Physician Dermatopathologist Procedural Dermatology and 1 more
1157 Forsyth St
Macon
, Georgia 31201
Mark W Bonner
Dermatologist General Practice Physician Dermatopathologist Procedural Dermatology and 1 more
1157 Forsyth St
Macon
, Georgia 31201
(478) 274-8418
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
- Pediatric Dermatologist
- Procedural Dermatology
- General Practice Physician
Languages spoken
- English
Location
First Address
- Mark W Bonner
- 2400 Bellevue Rd Ste 21a
- Dublin, GA
- Zip : 31021-2890
- Fax : (478) 274-8418
- Phone : (478) 275-7202
Second Address
- Mark W Bonner
- 1157 Forsyth St
- Macon, GA
- Zip : 31201
- Fax : (478) 328-0438
- Phone : (478) 745-8581
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FAQs
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Where is Mark W Bonner ’s practice located?
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Is Mark W Bonner a sole practitioner?
Is Mark W Bonner accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 057047 | GA |
| N | 207ND0900X | Dermatopathologist | 057047 | GA |
| N | 207NP0225X | Pediatric Dermatologist | 057047 | GA |
| N | 207NS0135X | Procedural Dermatology | 057047 | GA |
| N | 208D00000X | General Practice Physician | 057047 | GA |
National Provider Identifier
| NPI | 1811961600 |
|---|---|
| Provider Name | Mark W Bonner |
| First Address | Dublin, GA 31021-2890 |
| Second Address | Macon, GA 31201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/02/2006 |
| Last Update Date | 22/04/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 413577315A | (05) | GA |
| DC4061 | RAILROAD MEDICARE (01) | GA |
| H20672 | (02) | |
| P00258031 | RAILROAD MEDICARE (01) | GA |
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.