PKANITA BONNER MARION

LITHONIA, GA
NPI1598220717
Former NamePKANITA BONNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: GA  F01191266)
Enumeration Date2019-02-01
Last Update Date2019-02-01
Business Address
PKANITA BONNER MARION NP
8425 MALL PARKWAY
LITHONIA, GA 30038
Phone number: 678-526-1014
Mailing Address
PKANITA BONNER MARION NP
PO BOX 1395
LITHONIA, GA 30058-1395
Phone number: 205-767-9992