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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BONITA L BROCKMAN, MD

Active

BONITA L BROCKMAN, MD is a Pediatrics healthcare provider located in AUSTELL, Georgia. NPI 1962443515 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · AUSTELL, GA

Registration Details

NPI Number
1962443515
Provider Type
Individual
Gender
Female
NPI Issued
Jun 8, 2006 (20.200149744104 yrs)
Last Updated
Jul 8, 2007
License
045410 (GA)

Practice Information

Address
2041 MESA VALLEY WAY
STE 185
AUSTELL, GA, 30106
Browse GA providers · Browse ZIP 30106
Phone
4047858900
Fax
4047858948
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in AUSTELL, GA

Name Credential NPI
DR. SIVANTHINI HINES MD 1891785382
DR. ANNISHA ELLIS MD 1346230836
DR. AVRIL P BECKFORD MD 1609866193
DR. SHELLY-ANN MICHELA SALANDY MD 1205826500
LAUREL B KOHN MD 1730162132
MRS. FAYE E. SPECTOR MALONEY MD 1093792400
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.