Bonita C. Musial
Organization Active NPI Family Medicine Physician · Monticello, MS
NPI 1144370552 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1144370552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 13704 (MS)
- Legal business name
- BONITA C. MUSIAL
- Practice address
- 314 Main Street
Suite D
Monticello, MS 39654-0949 - Phone
- (601) 587-2785
- Fax
- (601) 587-7799
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Bonita C. Musial, M.D.
- Title
- Solo Practitioner
- Phone
- (601) 587-2785
Practitioners 5
-
Greta Louise Keys, FNP-BC
-
Molly Grubbs Mayhugh, FNP
-
Jacqueline Moore, FNP-C
National Provider Directory
Locations
314 Main St
#D
Monticello, MS 39654
Phone (601) 587-2785
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 13704 | MS | Yes |
Addresses
Primary practice location
314 Main Street
Suite D
Monticello, MS 39654-0949
Mailing address
PO Box 949
314 Main Street, Suite D
Monticello, MS 39654-0949
Phone (601) 587-2785
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00117007 | Medicaid | MS |
Other providers in Monticello, MS
- Adjr, LLC
- Brandy Nicole Anderson
- Atwood Emergency Physicians LLC
- Bathsheba Nicole Badon
- Blake A. Ballard
- Armanda L. Bourne
- Doretha Bournes
- Chris Gilbert Boyd
- Constance M. Bradford
- Brenco
All providers in Monticello, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.