William Bodnar, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Clarkston, GA
NPI 1033767223 · NPPES record last updated Aug 30, 2019
Key facts
- NPI
- 1033767223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN176683 (GA)
- Practice address
- 3701 College Ave
Clarkston, GA 30021-2508 - Phone
- (678) 383-1383
- NPI assigned
- Aug 30, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN176683 | GA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN176683 | GA | Yes |
Addresses
Primary practice location
3701 College Ave
Clarkston, GA 30021-2508
Mailing address
PO Box 8232
Atlanta, GA 31106-0232
Phone (404) 771-8365
Other providers in Clarkston, GA
- Bella Dental Services, P.C
- Best Care Dental Inc.
- Thanmayie Bethi
- Istiaque Biswas
- Bliss Primary and Urgent Care PC
- Courtney S Bowman
- Devonee Marie Boydston
- Payal Brahmbhatt
- Edith Brush
- Carepoint Home Care, LLC
All providers in Clarkston, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.