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Contact Information

LONNIE F BAMBAS
6600 VAN AALST BLVD
FORT MOORE, GA31905-2102
 Phone: 762-408-2180
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for LONNIE F BAMBAS · (Male)

NPI Number 1841001559
Status Active
Credentials
Entity Individual
Enumeration date 01/14/2025
Last updated 01/14/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 15379
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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