Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN MICHAEL BONHAM, PA-C
ActiveJOHN MICHAEL BONHAM, PA-C is a Physician Assistant healthcare provider located in ENGLEWOOD, Tennessee. NPI 1811462906 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ENGLEWOOD, TN
Registration Details
- NPI Number
- 1811462906
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2018 (7.8992259624606 yrs)
- Last Updated
- May 15, 2023
- License
-
3722 (TN)
Practice Information
- Address
-
3360 HIGHWAY 411 NENGLEWOOD, TN, 373295276Browse TN providers · Browse ZIP 37329
- Phone
- 4238875131
- Fax
- 4238875131
- Primary Specialty
-
Physician Assistant
363A00000X
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.