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Dr. David J Bodne, MD
Diagnostic Radiology Physician in Newnan, Georgia
NPI 1316944697

David J Bodne is a Diagnostic Radiology Physician based in Newnan, GA and is specialized in Diagnostic Radiology. David J Bodne practices in Newnan, GA and has the professional credentials of MD. The NPI Number for David J Bodne is 1316944697 and holds a License No. 23913 (Georgia).

The current practice location address for David J Bodne is 745 Poplar Road, Newnan, GA and can be reached out via phone at 770-400-1000 and via fax at 256-237-3787.

Location: 745 Poplar Road, Newnan, GA, 30265-1618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316944697
Provider Name
David J Bodne
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
745 Poplar Road, Newnan, GA, 30265-1618
Phone Number
770-400-1000
Fax Number
256-237-3787
Provider Enumeration Date
07/01/2005
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
51500979 01 AL BLUE CROSS BLUE SHIELD AL
P01064288 01 GA RAILROAD MEDICARE
000542264M 05 GA
009948040 05 AL
institution
Provider Business Practice Location Address Details
Address
745 Poplar Road
City
Newnan
State
Georgia
Zip
32605-1618
Phone Number
770-400-1000
Fax Number
256-237-3787
person
Provider Business Mailing Address Details
Address
745 Poplar Road
City
Newnan
State
Georgia
Zip
32605-1618
Phone Number
770-400-1000
Fax Number
256-237-3787
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2024026884 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
23913 (Alabama)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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