Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BONNIE P ELLENOFF, DO
ActiveBONNIE P ELLENOFF, DO is a Family Medicine healthcare provider located in AUSTELL, Georgia. NPI 1306907001 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · AUSTELL, GA
Registration Details
- NPI Number
- 1306907001
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 13, 2006 (19.629243777524 yrs)
- Last Updated
- Jan 13, 2022
- License
-
051644 (GA)
Practice Information
- Address
-
3640 TRAMORE POINTE PKWYKAISER PERMANENTE WEST COBB MEDICAL CENTERAUSTELL, GA, 301066825Browse GA providers · Browse ZIP 30106
- Phone
- 7704394700
- Fax
- 4043700428
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in AUSTELL, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. WENDY KIAH RUSSELL | MD | 1679575997 |
| DR. THOMAS GEARHARD | M.D | 1538159603 |
| DR. MARY GEARHARD | M.D | 1609867647 |
| THI MINH DIEM NGUYEN | MD | 1629089354 |
| BRADLEY STEARNS | — | 1073612115 |
| DR. LAURA ALYCE MAKAROFF | D.O. | 1851486054 |
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.