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NPI Code Detail

MEDICARE: DR. GERALD BOHN M.D.

MEDICARE: DR. GERALD BOHN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician030957GA

General Provider Information

NPI Number : 1811991706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERALD BOHN M.D.
Provider Business Mailing Address
First Line : 231 GRAEFE ST
Second Line :
City : GRIFFIN
State : GA
Zip : 30224-4222
Country : US
Telephone Number : 770-227-1587
Fax Number : 770-227-1485
Provider Business Practice Location Address
First Line : 231 GRAEFE ST
Second Line :
City : GRIFFIN
State : GA
Zip : 30224-4222
Country : US
Telephone Number : 770-227-1587
Fax Number : 770-227-1485
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 07/09/2010

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Directions to “ DR. GERALD BOHN M.D.” Practice Location

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