Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK W BONNER, MD
ActiveMARK W BONNER, MD is a Dermatology healthcare provider located in MACON, Georgia. NPI 1811961600 is currently active in the NPPES registry. Verify at CMS.
Dermatology · MACON, GA
Registration Details
- NPI Number
- 1811961600
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2006 (20.458553483209 yrs)
- Last Updated
- May 3, 2024
- Licenses
-
057047 (GA)057047 (GA)057047 (GA)057047 (GA)057047 (GA)
Practice Information
- Address
-
1157 FORSYTH STMACON, GA, 31201Browse GA providers · Browse ZIP 31201
- Phone
- 4787458581
- Fax
- 4783280438
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Dermatopathology
- Additional Specialty
- Clinical & Laboratory Dermatological Immunology
- Additional Specialty
- 207NP0225X
Other Dermatology Providers in MACON, GA
| Name | Credential | NPI |
|---|---|---|
| DAVID J COHEN | MD | 1487652020 |
| VIRGINIA CHILDS HALL | M.D. | 1073501276 |
| BILLIE LUKE JACKSON | M.D. | 1235232430 |
| DR. JENNIFER HAWKINS ALLEN | M.D. | 1922160811 |
| BRUCE STUART ALLEN | M.D. | 1558603969 |
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.