Marlon Bonner
Marlon Bonner is an Anesthesiology Assistant in Fairburn, Georgia. Qualified in 2014, 12 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 12
- Licensed in
- GA
- In the registry since
- 2014
Practice location Address checks out
810 Kirkly WayFairburn, GA 30213-2482
Phone: (706) 332-9395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiologist Assistant (primary) | Taxonomy 367H00000X (GA) |
|---|
Record details
| NPI number | 1225442734 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 12, 2014 |
| Last updated in NPPES | June 12, 2014 |
| Mailing address | 810 Kirkly Way, Fairburn, GA 30213-2482 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Wellstar Medical Group Llc — 3072 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |