Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GENA MARIE BONITATIBUS, M.D.
Active Sole ProprietorDR. GENA MARIE BONITATIBUS, M.D. is a Allergy & Immunology healthcare provider located in EVANS, Georgia. NPI 1184621310 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · EVANS, GA
Registration Details
- NPI Number
- 1184621310
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2005 (21.142588162055 yrs)
- Last Updated
- Mar 5, 2024
- License
-
045041 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4350 TOWNE CENTRE DR STE 1500EVANS, GA, 308093332Browse GA providers · Browse ZIP 30809
- Phone
- 7064211700
- Fax
- 7063960618
- Primary Specialty
-
Allergy & Immunology
207K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.