LEONOR NMN BONNET-ENGEBRETSON


Address: 3212 Walnut Rdg, Atlanta, GA 30349-8745
Phone: 7709642216

LEONOR NMN BONNET-ENGEBRETSON (NPI# 1023227394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023227394
Entity Type Individual
Full Name LEONOR NMN BONNET-ENGEBRETSON
Credential M.D.
Practice Address 3212 Walnut Rdg
Atlanta
GA 30349-8745
Practice Telephone 7709642216
Practice Fax Number 7709643783
Mailing Telephone 7709642216
Mailing Fax Number 7709643783
Enumeration Date 2007-05-22
Last Update Date 2008-03-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2400X Clinic/Center
Specialization: Prison Health
9760 PR Ambulatory Health Care Facilities

Office Location

Street Address 3212 WALNUT RDG
City ATLANTA
State GA
Zip Code 30349-8745

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Taxonomy Information

Taxonomy Code 261QP2400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Prison Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114138849 Medical College of Georgia Clinic/Center Prison Rd, Sparta, GA 31081 2007-05-24

Competitor

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City ATLANTA
Zip Code 30349

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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