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1871747022
GERALD WAYNE BOHANAN
WARNER ROBINS, GA
NPI
1871747022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0200X Clinic/Center, Radiology
(Licence: GA 10105)
Enumeration Date
2008-11-13
Last Update Date
2008-11-13
Business Address
Dr. GERALD WAYNE BOHANAN M.D.
2706 WATSON BLVD SUITE D
WARNER ROBINS, GA 31093-2997
Phone number: 478-953-6033
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Mailing Address
Dr. GERALD WAYNE BOHANAN M.D.
1415 PARK AVE
PERRY, GA 31069-2311
Phone number: 478-987-3417
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