John Michael Bonham, PA-C

NPI #1811462906 in Englewood, Tennessee

Provider Information

NPI Number: 1811462906
Entity Type: Individual
Name: John Michael Bonham, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 4, 2018
Last Updated: May 15, 2023

Practice Location

Address: 3360 HIGHWAY 411 N
City: Englewood
State: Tennessee
ZIP Code: 37329-5276
Phone: (423) 887-5131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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