Gary Roy Bodner, M.D. Valid NPI
Individual provider · Obstetrics & Gynecology Physician · Atlanta, GA
- NPI
- 1841286648
- Type
- Individual (Type 1)
- Primary specialty
- Obstetrics & Gynecology Physician (Obstetrics & Gynecology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207V00000X
- License number
- 18205 (GA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-09-27
- Last updated
- 2017-10-04
Practice location
5515 Powers Ridge Ct
Atlanta, GA 30327-4295
(770) 952-4945