STEPHEN BONANNI

FORT STEWART, GA
NPI1760812895
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2013-11-27
Last Update Date2017-01-11
Business Address
-- STEPHEN BONANNI PA
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6965
Mailing Address
-- STEPHEN BONANNI PA
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6965
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