MEDICARE: BONNIE ANN SARRELL

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
1	207R00000X	Internal Medicine Physician	61329	TN
2	207RN0300X	Nephrology Physician	110934	GA
3	207RN0300X	Nephrology Physician	61329	TN

General Provider Information

NPI Number	:	1841682572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BONNIE ANN SARRELL

Provider Business Mailing Address
First Line	:	1968 PEACHTREE RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1281
Country	:	US
Telephone Number	:	404-605-4600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1968 PEACHTREE RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1281
Country	:	US
Telephone Number	:	404-605-4600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2015
Last Update Date	:	06/12/2026

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Directions to “ BONNIE ANN SARRELL ” Practice Location

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