Bonita L Brockman, MD

NPI #1962443515 in Austell, Georgia

Provider Information

NPI Number
1962443515
Entity Type
Individual
Name
Bonita L Brockman, MD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Pediatrics
Credential
MD
Enumeration Date
Jun 8, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2041 MESA VALLEY WAY
Address 2
STE 185
State
Georgia
ZIP Code
30106
Phone
(404) 785-8900

Specialties & Taxonomy Codes

Specialty
Pediatrics

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