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Deidra Bobbieann Bohannon
Pediatrics Physician in Atlanta, Georgia
NPI 1588245450

Deidra Bobbieann Bohannon is a Pediatrics Physician based in Atlanta, GA. Deidra Bobbieann Bohannon practices in Atlanta, GA. The NPI Number for Deidra Bobbieann Bohannon is 1588245450 and holds a License No. (Georgia).

The current practice location address for Deidra Bobbieann Bohannon is 3885 Princeton Lakes Way Sw Ste 302, Atlanta, GA and can be reached out via phone at 404-629-1880.

Location: 3885 Princeton Lakes Way Sw Ste 302, Atlanta, GA, 30331-5590
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588245450
Provider Name
Deidra Bobbieann Bohannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
3885 Princeton Lakes Way Sw Ste 302, Atlanta, GA, 30331-5590
Phone Number
404-629-1880
Fax Number
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3885 Princeton Lakes Way Sw Ste 302
City
Atlanta
State
Georgia
Zip
30331-5590
Phone Number
404-629-1880
Fax Number
person
Provider Business Mailing Address Details
Address
3885 Princeton Lakes Way Sw Ste 302
City
Atlanta
State
Georgia
Zip
30331-5590
Phone Number
404-629-1880
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
11295 (Georgia)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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