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Contact Information

GAREY A BONNER SR, DMD,PA
806 MISSISSIPPI DR
WAYNESBORO, MS39367-2438
 Phone: 601-735-5086
 Fax: 601-735-5089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for GAREY A BONNER SR · (Male)

NPI # 1164851796
Status Active
Credentials DMD,PA
Entity Individual
Enumeration date 11/04/2013
Last updated 11/04/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 1919-81
  • MS Other 1114096856 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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